Breast Reconstruction with Microvascular MS-TRAM and DIEP Flaps
Identifieur interne : 004486 ( Main/Exploration ); précédent : 004485; suivant : 004487Breast Reconstruction with Microvascular MS-TRAM and DIEP Flaps
Auteurs : David W. Chang [États-Unis]Source :
- Archives of Plastic Surgery [ 2234-6163 ] ; 2012.
Abstract
The free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) and deep inferior epigastric perforator (DIEP) flaps involve transferring skin and subcutaneous tissue from the lower abdominal area and have many features that make them well suited for breast reconstruction. The robust blood supply of the free flap reduces the risk of fat necrosis and also enables aggressive shaping of the flap for breast reconstruction to optimize the aesthetic outcome. In addition, the free MS-TRAM flap and DIEP flap require minimal donor-site sacrifice in most cases. With proper patient selection and safe surgical technique, the free MS-TRAM flap and DIEP flap can transfer the lower abdominal skin and subcutaneous tissue to provide an aesthetically pleasing breast reconstruction with minimal donor-site morbidity.
Url:
DOI: 10.5999/aps.2012.39.1.3
PubMed: 22783484
PubMed Central: 3385301
Affiliations:
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Chang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea><wicri:noRegion>TX</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22783484</idno><idno type="pmc">3385301</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385301</idno><idno type="RBID">PMC:3385301</idno><idno type="doi">10.5999/aps.2012.39.1.3</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">004911</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004911</idno><idno type="wicri:Area/Pmc/Curation">004910</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004910</idno><idno type="wicri:Area/Pmc/Checkpoint">002B40</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002B40</idno><idno type="wicri:Area/Ncbi/Merge">004F36</idno><idno type="wicri:Area/Ncbi/Curation">004F36</idno><idno type="wicri:Area/Ncbi/Checkpoint">004F36</idno><idno type="wicri:doubleKey">2234-6163:2012:Chang D:breast:reconstruction:with</idno><idno type="wicri:Area/Main/Merge">004507</idno><idno type="wicri:Area/Main/Curation">004486</idno><idno type="wicri:Area/Main/Exploration">004486</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Breast Reconstruction with Microvascular MS-TRAM and DIEP Flaps</title><author><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W." last="Chang">David W. Chang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea><wicri:noRegion>TX</wicri:noRegion></affiliation></author></analytic><series><title level="j">Archives of Plastic Surgery</title><idno type="ISSN">2234-6163</idno><idno type="eISSN">2234-6171</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) and deep inferior epigastric perforator (DIEP) flaps involve transferring skin and subcutaneous tissue from the lower abdominal area and have many features that make them well suited for breast reconstruction. The robust blood supply of the free flap reduces the risk of fat necrosis and also enables aggressive shaping of the flap for breast reconstruction to optimize the aesthetic outcome. In addition, the free MS-TRAM flap and DIEP flap require minimal donor-site sacrifice in most cases. With proper patient selection and safe surgical technique, the free MS-TRAM flap and DIEP flap can transfer the lower abdominal skin and subcutaneous tissue to provide an aesthetically pleasing breast reconstruction with minimal donor-site morbidity.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Holmstrom, H" uniqKey="Holmstrom H">H Holmstrom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roehl, Kr" uniqKey="Roehl K">KR Roehl</name></author><author><name sortKey="Baumann, Dp" uniqKey="Baumann D">DP Baumann</name></author><author><name sortKey="Chevray, Pm" uniqKey="Chevray P">PM Chevray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author><author><name sortKey="Reece, Gp" uniqKey="Reece G">GP Reece</name></author><author><name sortKey="Wang, B" uniqKey="Wang B">B Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author><author><name sortKey="Wang, B" uniqKey="Wang B">B Wang</name></author><author><name sortKey="Robb, Gl" uniqKey="Robb G">GL Robb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Jy" uniqKey="Kim J">JY Kim</name></author><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author><author><name sortKey="Temple, C" uniqKey="Temple C">C Temple</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lipa, Je" uniqKey="Lipa J">JE Lipa</name></author><author><name sortKey="Youssef, Aa" uniqKey="Youssef A">AA Youssef</name></author><author><name sortKey="Kuerer, Hm" uniqKey="Kuerer H">HM Kuerer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miller, Rb" uniqKey="Miller R">RB Miller</name></author><author><name sortKey="Reece, G" uniqKey="Reece G">G Reece</name></author><author><name sortKey="Kroll, Ss" uniqKey="Kroll S">SS Kroll</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heller, L" uniqKey="Heller L">L Heller</name></author><author><name sortKey="Feledy, Ja" uniqKey="Feledy J">JA Feledy</name></author><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tran, Nv" uniqKey="Tran N">NV Tran</name></author><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author><author><name sortKey="Gupta, A" uniqKey="Gupta A">A Gupta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author><author><name sortKey="Barnea, Y" uniqKey="Barnea Y">Y Barnea</name></author><author><name sortKey="Robb, Gl" uniqKey="Robb G">GL Robb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author><author><name sortKey="Kim, S" uniqKey="Kim S">S Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saint Cyr, M" uniqKey="Saint Cyr M">M Saint-Cyr</name></author><author><name sortKey="Youssef, A" uniqKey="Youssef A">A Youssef</name></author><author><name sortKey="Bae, Hw" uniqKey="Bae H">HW Bae</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saint Cyr, M" uniqKey="Saint Cyr M">M Saint-Cyr</name></author><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author><author><name sortKey="Robb, Gl" uniqKey="Robb G">GL Robb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sacks, Jm" uniqKey="Sacks J">JM Sacks</name></author><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bajaj, Ak" uniqKey="Bajaj A">AK Bajaj</name></author><author><name sortKey="Chevray, Pm" uniqKey="Chevray P">PM Chevray</name></author><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Lc" uniqKey="Wu L">LC Wu</name></author><author><name sortKey="Bajaj, A" uniqKey="Bajaj A">A Bajaj</name></author><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W." last="Chang">David W. 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