A microcirurgia em reconstrução mamária. O retalho livre miocutâneo do recto anterior do abdomén.
The advantages of the free TRAM flap over the conventional Tram flap are known. The use of its main pedicle--the deep inferior epigastric system--improves the blood supply, decreasing the risk of skin and fat necrosis. The harvesting of 5-7 cm of muscle, and the preservation of its lateral border de...
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
1998-03-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2227 |
| _version_ | 1797996869593333760 |
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| author | M J Dos Santos |
| author_facet | M J Dos Santos |
| author_sort | M J Dos Santos |
| collection | DOAJ |
| description | The advantages of the free TRAM flap over the conventional Tram flap are known. The use of its main pedicle--the deep inferior epigastric system--improves the blood supply, decreasing the risk of skin and fat necrosis. The harvesting of 5-7 cm of muscle, and the preservation of its lateral border decreases the risk of abdominal wall bulge or hernias. Delayed breast reconstructions in patients submitted to radiotherapy were performed by end to side anastomosis between flap vessels and axillary vessels, avoiding the thoracodorsal irradiated vessels, and improving the blood flow. Ten patients were submitted to breast reconstruction by free TRAM flaps. There was one total flap necrosis, and one delayed healing around the periumbilical suture. Neither skin nor fat necrosis were seen. One patient developed an abdominal wall bulge. Two patients presenting tumor metastasis abandoned the plastic surgery outpatient clinic. Two patients refused the nipple-areolar complex (NAC) reconstruction. The outcome of five NAC reconstructions was very good, breasts being symmetrical without an opposite breast operation. |
| first_indexed | 2024-04-11T10:24:19Z |
| format | Article |
| id | doaj.art-e4dc2fac4e31488287d4be2864792263 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-11T10:24:19Z |
| publishDate | 1998-03-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-e4dc2fac4e31488287d4be28647922632022-12-22T04:29:39ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581998-03-0111310.20344/amp.2227A microcirurgia em reconstrução mamária. O retalho livre miocutâneo do recto anterior do abdomén.M J Dos Santos0Serviço de Cirurgia Plástica, Hospitais da Universidade de Coimbra.The advantages of the free TRAM flap over the conventional Tram flap are known. The use of its main pedicle--the deep inferior epigastric system--improves the blood supply, decreasing the risk of skin and fat necrosis. The harvesting of 5-7 cm of muscle, and the preservation of its lateral border decreases the risk of abdominal wall bulge or hernias. Delayed breast reconstructions in patients submitted to radiotherapy were performed by end to side anastomosis between flap vessels and axillary vessels, avoiding the thoracodorsal irradiated vessels, and improving the blood flow. Ten patients were submitted to breast reconstruction by free TRAM flaps. There was one total flap necrosis, and one delayed healing around the periumbilical suture. Neither skin nor fat necrosis were seen. One patient developed an abdominal wall bulge. Two patients presenting tumor metastasis abandoned the plastic surgery outpatient clinic. Two patients refused the nipple-areolar complex (NAC) reconstruction. The outcome of five NAC reconstructions was very good, breasts being symmetrical without an opposite breast operation.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2227 |
| spellingShingle | M J Dos Santos A microcirurgia em reconstrução mamária. O retalho livre miocutâneo do recto anterior do abdomén. Acta Médica Portuguesa |
| title | A microcirurgia em reconstrução mamária. O retalho livre miocutâneo do recto anterior do abdomén. |
| title_full | A microcirurgia em reconstrução mamária. O retalho livre miocutâneo do recto anterior do abdomén. |
| title_fullStr | A microcirurgia em reconstrução mamária. O retalho livre miocutâneo do recto anterior do abdomén. |
| title_full_unstemmed | A microcirurgia em reconstrução mamária. O retalho livre miocutâneo do recto anterior do abdomén. |
| title_short | A microcirurgia em reconstrução mamária. O retalho livre miocutâneo do recto anterior do abdomén. |
| title_sort | microcirurgia em reconstrucao mamaria o retalho livre miocutaneo do recto anterior do abdomen |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2227 |
| work_keys_str_mv | AT mjdossantos amicrocirurgiaemreconstrucaomamariaoretalholivremiocutaneodorectoanteriordoabdomen AT mjdossantos microcirurgiaemreconstrucaomamariaoretalholivremiocutaneodorectoanteriordoabdomen |