INTERNAL MAMMARY VESSELS - A RELIABLE RECIPIENT SYSTEM FOR FREE FLAPS IN BREAST RECONSTRUCTION

被引：80

作者：

NINKOVIC, M

ANDERL, H

HEFEL, L

SCHWABEGGER, A

WECHSELBERGER, G

机构：

[1] University Clinic for Plastic and Reconstructive Surgery, Innsbruck

来源：

BRITISH JOURNAL OF PLASTIC SURGERY | 1995年 / 48卷 / 08期

关键词：

D O I：

10.1016/0007-1226(95)90040-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

In breast reconstruction with a free flap following mastectomy, the recipient vessels most widely used are in the axillary system, which limits flap movement and flexibility in breast shaping. In addition, scarring and fibrosis can make dissection of the vessels difficult. We have performed 22 breast reconstructions using a free transverse rectus abdominis myocutaneous (TRAM) flap anastomosed to the internal mammary (thoracic) vessels. There has been no flap failure. The surgical techniques and the advantages and limitations of the internal mammary system are presented and the internal mammary vessels compared with the axillary vessels as a recipient vascular system.

引用

收藏

页码：533 / 539

页数：7

相关论文

共 27 条

[1] BREAST RECONSTRUCTION BY THE FREE LOWER TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS FLAP [J].

ARNEZ, ZM ;

SMITH, RW ;

EDER, E ;

SOLINC, M ;

KERSNIC, M .

BRITISH JOURNAL OF PLASTIC SURGERY, 1988, 41 (05) :500-505

[2] THE BIPEDICLED FREE TRAM FLAP [J].

ARNEZ, ZM ;

SCAMP, T .

BRITISH JOURNAL OF PLASTIC SURGERY, 1992, 45 (03) :214-218

[3] EXPERIENCE WITH 50 FREE TRAM FLAP BREAST RECONSTRUCTIONS [J].

ARNEZ, ZM ;

BAJEC, J ;

BARDSLEY, AF ;

SCAMP, T ;

WEBSTER, MHC .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1991, 87 (03) :470-478

[4]

CONVERSE JM, 1977, RECONSTRUCTIVE PLAST, P337

[5] LATE RESULTS AND CURRENT INDICATIONS OF LATISSIMUS-DORSI BREAST RECONSTRUCTIONS [J].

DEMEY, A ;

LEJOUR, M ;

DECLETY, A ;

MEYTHIAZ, AM .

BRITISH JOURNAL OF PLASTIC SURGERY, 1991, 44 (01) :1-4

[6] THE LATERAL TRANSVERSE THIGH FREE FLAP - AN ALTERNATIVE FOR AUTOGENOUS-TISSUE BREAST RECONSTRUCTION [J].

ELLIOTT, LF ;

BEEGLE, PH ;

HARTRAMPF, CR .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1990, 85 (02) :169-178

[7] RECONSTRUCTION FOR APLASIA OF BREAST AND PECTORAL REGION BY MICROVASCULAR TRANSFER OF A FREE FLAP FROM BUTTOCK [J].

FUJINO, T ;

HARASHINA, T ;

AOYAGI, F .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1975, 56 (02) :178-181

[8] PRIMARY BREAST RECONSTRUCTION AFTER A STANDARD RADICAL MASTECTOMY BY A FREE FLAP TRANSFER [J].

FUJINO, T ;

HARASHINA, T ;

ENOMOTO, K .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1976, 58 (03) :371-374

[9] CONVENTIONAL TRAM FLAP VERSUS FREE MICROSURGICAL TRAM FLAP FOR IMMEDIATE BREAST RECONSTRUCTION [J].

GROTTING, JC ;

URIST, MM ;

MADDOX, WA ;

VASCONEZ, LO .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1989, 83 (05) :828-841

[10] AUGMENTATION OF CIRCULATION OF PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS FLAPS BY MICROVASCULAR SURGERY [J].

HARASHINA, T ;

SONE, K ;

INOUE, T ;

FUKUZUMI, S ;

ENOMOTO, K .

BRITISH JOURNAL OF PLASTIC SURGERY, 1987, 40 (04) :367-370