CLINICAL-EXPERIENCE WITH IMMEDIATE BREAST RECONSTRUCTION USING TISSUE EXPANSION OR TRANSVERSE RECTUS-ABDOMINIS MUSCULOCUTANEOUS FLAPS

被引:55
作者
ROSEN, PB
JABS, AD
KISTER, SJ
HUGO, NE
机构
[1] COLUMBIA PRESBYTERIAN MED CTR,DIV PLAST SURG,622 W 168 ST,NEW YORK,NY 10032
[2] COLUMBIA PRESBYTERIAN MED CTR,DEPT SURG,DIV PLAST & RECONSTRUCT SURG,NEW YORK,NY 10032
关键词
D O I
10.1097/00000637-199010000-00002
中图分类号
R61 [外科手术学];
学科分类号
摘要
We retrospectively reviewed our experience with immediate breast reconstruction in 103 consecutive patients with stage 0 or I breast carcinoma between May 1983 and April 1988. Two reconstructive techniques were used, that is, either tissue expansion with secondary prosthesis implanatation (60%) or transverse rectus abdominis musculocutaneous (TRAM) flap (40%). Chemotherapy was administered in 22% of patients without delay or compromise. The mean length of follow-up is 30 months. The complication rate was equal for both groups (24%) with infection being most common in the group of patients with tissue expansion and partial flap necrosis being most common in the group of patients with TRAM flaps. Aesthetic results were superior with use of the TRAM flap. Our experience concurs with previous reports that documented satisfactory results with immediate breast reconstruction without compromising further therapy. We conclude that although the tissue expansion technique yields acceptable results, the TRAM flap yields superior aesthetic results in terms of both appearance and consistency.
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页码:249 / 257
页数:9
相关论文
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