BREAST RECONSTRUCTION WITH PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS (TRAM) FLAP: RESULTS OF 10 YEARS EXPERIENCE
Breast-conserving surgery has become the standart strategy in breast cancer. At the same time immediate breast reconstruction is a popular method in the treatment of breast cancer. The autologous tissue reconstruction provides better cosmesis than silicone implants with acceptable complication rates...
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Format: | Article |
Language: | English |
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Galenos Publishing House
2008-01-01
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Series: | European Journal of Breast Health |
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Online Access: |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-reconstructon-wth-pedcled-transverse-rectus/42671
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author | Müjdat Balkan Semih Görgülü Erkan Öztürk Fatih Zor İsmail Arslan Mustafa Şengezer Turgut Tufan |
author_facet | Müjdat Balkan Semih Görgülü Erkan Öztürk Fatih Zor İsmail Arslan Mustafa Şengezer Turgut Tufan |
author_sort | Müjdat Balkan |
collection | DOAJ |
description | Breast-conserving surgery has become the standart strategy in breast cancer. At the same time immediate breast reconstruction is a popular method in the treatment of breast cancer. The autologous tissue reconstruction provides better cosmesis than silicone implants with acceptable complication rates.
Immediate breast reconstruction with pedicled transverse rectus abdominis musculocutaneous (TRAM) fl ap following modifi ed radical mastectomy was attempted in 32 breast cancer patients in Gulhane Military Medical Academy General Surgery and Plastic and Reconstructive Surgery Departments between 1997 and 2006. Histological analysis showed invasive ductal carcinoma in 23 patients, invasive lobular carcinoma in 6 cases, mixed invasive carcinoma in 2 patient, and squamous cell cancer in 1 patient. Local fl ap necrosis, abdominal hernia and donor site bursa were seen in 1 patient in early postoperative period while minimal fl ap necrosis was detected in 1 patient in late postoperative period. We did not see any complications in the rest of the patients. There was no observed local or systemic recurrence during the follow-up period (mean, 60 months).
We concluded that immediate breast reconstruction is a safe and eff ective procedure with very good cosmetic results and it provides an improvement in social life of patients. |
first_indexed | 2024-04-10T11:07:00Z |
format | Article |
id | doaj.art-cad2ab34f4424bbe8cf8ef4d1f3cb66a |
institution | Directory Open Access Journal |
issn | 2587-0831 |
language | English |
last_indexed | 2024-04-10T11:07:00Z |
publishDate | 2008-01-01 |
publisher | Galenos Publishing House |
record_format | Article |
series | European Journal of Breast Health |
spelling | doaj.art-cad2ab34f4424bbe8cf8ef4d1f3cb66a2023-02-15T16:19:21ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312008-01-0141212413049054BREAST RECONSTRUCTION WITH PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS (TRAM) FLAP: RESULTS OF 10 YEARS EXPERIENCEMüjdat Balkan0Semih Görgülü1Erkan Öztürk2Fatih Zor3İsmail Arslan4Mustafa Şengezer5Turgut Tufan6 GATA, Genel Cerrahi, Ankara, Türkiye GATA, Genel Cerrahi, Ankara, Türkiye GATA, Genel Cerrahi, Ankara, Türkiye GATA, Plastik ve Rekonstrüktif Cerrahi, Ankara, Türkiye GATA, Genel Cerrahi, Ankara, Türkiye GATA, Plastik ve Rekonstrüktif Cerrahi, Ankara, Türkiye GATA, Genel Cerrahi, Ankara, Türkiye Breast-conserving surgery has become the standart strategy in breast cancer. At the same time immediate breast reconstruction is a popular method in the treatment of breast cancer. The autologous tissue reconstruction provides better cosmesis than silicone implants with acceptable complication rates. Immediate breast reconstruction with pedicled transverse rectus abdominis musculocutaneous (TRAM) fl ap following modifi ed radical mastectomy was attempted in 32 breast cancer patients in Gulhane Military Medical Academy General Surgery and Plastic and Reconstructive Surgery Departments between 1997 and 2006. Histological analysis showed invasive ductal carcinoma in 23 patients, invasive lobular carcinoma in 6 cases, mixed invasive carcinoma in 2 patient, and squamous cell cancer in 1 patient. Local fl ap necrosis, abdominal hernia and donor site bursa were seen in 1 patient in early postoperative period while minimal fl ap necrosis was detected in 1 patient in late postoperative period. We did not see any complications in the rest of the patients. There was no observed local or systemic recurrence during the follow-up period (mean, 60 months). We concluded that immediate breast reconstruction is a safe and eff ective procedure with very good cosmetic results and it provides an improvement in social life of patients. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-reconstructon-wth-pedcled-transverse-rectus/42671 breast cancerbreast reconstructionpedicled transverse rectus abdominis musculocutaneous (tram) fl ap |
spellingShingle | Müjdat Balkan Semih Görgülü Erkan Öztürk Fatih Zor İsmail Arslan Mustafa Şengezer Turgut Tufan BREAST RECONSTRUCTION WITH PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS (TRAM) FLAP: RESULTS OF 10 YEARS EXPERIENCE European Journal of Breast Health breast cancer breast reconstruction pedicled transverse rectus abdominis musculocutaneous (tram) fl ap |
title | BREAST RECONSTRUCTION WITH PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS (TRAM) FLAP: RESULTS OF 10 YEARS EXPERIENCE |
title_full | BREAST RECONSTRUCTION WITH PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS (TRAM) FLAP: RESULTS OF 10 YEARS EXPERIENCE |
title_fullStr | BREAST RECONSTRUCTION WITH PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS (TRAM) FLAP: RESULTS OF 10 YEARS EXPERIENCE |
title_full_unstemmed | BREAST RECONSTRUCTION WITH PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS (TRAM) FLAP: RESULTS OF 10 YEARS EXPERIENCE |
title_short | BREAST RECONSTRUCTION WITH PEDICLED TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS (TRAM) FLAP: RESULTS OF 10 YEARS EXPERIENCE |
title_sort | breast reconstruction with pedicled transverse rectus abdominis musculocutaneous tram flap results of 10 years experience |
topic | breast cancer breast reconstruction pedicled transverse rectus abdominis musculocutaneous (tram) fl ap |
url |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-reconstructon-wth-pedcled-transverse-rectus/42671
|
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