A Clinical Anatomic Study of Internal Mammary Perforators as Recipient Vessels for Breast Reconstruction
Identifieur interne : 006011 ( Ncbi/Curation ); précédent : 006010; suivant : 006012A Clinical Anatomic Study of Internal Mammary Perforators as Recipient Vessels for Breast Reconstruction
Auteurs : In-Soo Baek [Corée du Sud] ; Jae-Pil You [Corée du Sud] ; Sung-Mi Rhee [Corée du Sud] ; Gil-Su Son [Corée du Sud] ; Deok-Woo Kim [Corée du Sud] ; Eun-Sang Dhong [Corée du Sud] ; Seung-Ha Park [Corée du Sud] ; Eul-Sik Yoon [Corée du Sud]Source :
- Archives of Plastic Surgery [ 2234-6163 ] ; 2013.
Abstract
Partially resecting ribs of the recipient site to facilitate easy anastomosis of the internal mammary vessels to free flaps during breast reconstruction can cause chest wall pain or deformities. To avoid this, the intercostal perforating branches of the internal mammary vessels can be used for anastomosis. The purpose of this study was to investigate the location and size of the internal mammary perforator vessels based on clinical intraoperative findings and to determine their reliability as recipient vessels for breast reconstruction with microsurgical free tissue transfer.
Twelve patients were preoperatively screened for the presence of internal mammary perforators using Doppler tracing. After modified radical mastectomy was performed by a general surgeon, the location and size of the internal mammary perforator vessels were microscopically investigated. The external diameter was examined using a vessel-measuring gauge from a mechanical coupling device, and the distance from the mid-sternal line to the perforator was also measured.
The largest arterial perforator averaged 1.5 mm, and the largest venous perforator averaged 2.2 mm. Perforators emerging from the second intercostal space had the largest average external diameter; the second intercostal space also had the largest number of perforators arising from it. The average distance from the mid-sternal line to the perforator was 20.2 mm.
Internal mammary perforators presented consistent and reliable anatomy in this study. Based on these results, the internal mammary perforators appear to have a suitable diameter for microvascular anastomosis and should be considered as an alternative recipient vessel to the internal mammary vessel.
Url:
DOI: 10.5999/aps.2013.40.6.761
PubMed: 24286051
PubMed Central: 3840185
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :003B33
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :003B32
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :002570
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :006011
Links to Exploration step
PMC:3840185Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Clinical Anatomic Study of Internal Mammary Perforators as Recipient Vessels for Breast Reconstruction</title>
<author><name sortKey="Baek, In Soo" sort="Baek, In Soo" uniqKey="Baek I" first="In-Soo" last="Baek">In-Soo Baek</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="You, Jae Pil" sort="You, Jae Pil" uniqKey="You J" first="Jae-Pil" last="You">Jae-Pil You</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rhee, Sung Mi" sort="Rhee, Sung Mi" uniqKey="Rhee S" first="Sung-Mi" last="Rhee">Sung-Mi Rhee</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Son, Gil Su" sort="Son, Gil Su" uniqKey="Son G" first="Gil-Su" last="Son">Gil-Su Son</name>
<affiliation wicri:level="3"><nlm:aff id="A2">Department of General Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of General Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kim, Deok Woo" sort="Kim, Deok Woo" uniqKey="Kim D" first="Deok-Woo" last="Kim">Deok-Woo Kim</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dhong, Eun Sang" sort="Dhong, Eun Sang" uniqKey="Dhong E" first="Eun-Sang" last="Dhong">Eun-Sang Dhong</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Park, Seung Ha" sort="Park, Seung Ha" uniqKey="Park S" first="Seung-Ha" last="Park">Seung-Ha Park</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Yoon, Eul Sik" sort="Yoon, Eul Sik" uniqKey="Yoon E" first="Eul-Sik" last="Yoon">Eul-Sik Yoon</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">24286051</idno>
<idno type="pmc">3840185</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840185</idno>
<idno type="RBID">PMC:3840185</idno>
<idno type="doi">10.5999/aps.2013.40.6.761</idno>
<date when="2013">2013</date>
<idno type="wicri:Area/Pmc/Corpus">003B33</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003B33</idno>
<idno type="wicri:Area/Pmc/Curation">003B32</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003B32</idno>
<idno type="wicri:Area/Pmc/Checkpoint">002570</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002570</idno>
<idno type="wicri:Area/Ncbi/Merge">006011</idno>
<idno type="wicri:Area/Ncbi/Curation">006011</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Clinical Anatomic Study of Internal Mammary Perforators as Recipient Vessels for Breast Reconstruction</title>
<author><name sortKey="Baek, In Soo" sort="Baek, In Soo" uniqKey="Baek I" first="In-Soo" last="Baek">In-Soo Baek</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="You, Jae Pil" sort="You, Jae Pil" uniqKey="You J" first="Jae-Pil" last="You">Jae-Pil You</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rhee, Sung Mi" sort="Rhee, Sung Mi" uniqKey="Rhee S" first="Sung-Mi" last="Rhee">Sung-Mi Rhee</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Son, Gil Su" sort="Son, Gil Su" uniqKey="Son G" first="Gil-Su" last="Son">Gil-Su Son</name>
<affiliation wicri:level="3"><nlm:aff id="A2">Department of General Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of General Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kim, Deok Woo" sort="Kim, Deok Woo" uniqKey="Kim D" first="Deok-Woo" last="Kim">Deok-Woo Kim</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dhong, Eun Sang" sort="Dhong, Eun Sang" uniqKey="Dhong E" first="Eun-Sang" last="Dhong">Eun-Sang Dhong</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Park, Seung Ha" sort="Park, Seung Ha" uniqKey="Park S" first="Seung-Ha" last="Park">Seung-Ha Park</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Yoon, Eul Sik" sort="Yoon, Eul Sik" uniqKey="Yoon E" first="Eul-Sik" last="Yoon">Eul-Sik Yoon</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</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="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Partially resecting ribs of the recipient site to facilitate easy anastomosis of the internal mammary vessels to free flaps during breast reconstruction can cause chest wall pain or deformities. To avoid this, the intercostal perforating branches of the internal mammary vessels can be used for anastomosis. The purpose of this study was to investigate the location and size of the internal mammary perforator vessels based on clinical intraoperative findings and to determine their reliability as recipient vessels for breast reconstruction with microsurgical free tissue transfer.</p>
</sec>
<sec><title>Methods</title>
<p>Twelve patients were preoperatively screened for the presence of internal mammary perforators using Doppler tracing. After modified radical mastectomy was performed by a general surgeon, the location and size of the internal mammary perforator vessels were microscopically investigated. The external diameter was examined using a vessel-measuring gauge from a mechanical coupling device, and the distance from the mid-sternal line to the perforator was also measured.</p>
</sec>
<sec><title>Results</title>
<p>The largest arterial perforator averaged 1.5 mm, and the largest venous perforator averaged 2.2 mm. Perforators emerging from the second intercostal space had the largest average external diameter; the second intercostal space also had the largest number of perforators arising from it. The average distance from the mid-sternal line to the perforator was 20.2 mm.</p>
</sec>
<sec><title>Conclusions</title>
<p>Internal mammary perforators presented consistent and reliable anatomy in this study. Based on these results, the internal mammary perforators appear to have a suitable diameter for microvascular anastomosis and should be considered as an alternative recipient vessel to the internal mammary vessel.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Clark, Cp" uniqKey="Clark C">CP Clark</name>
</author>
<author><name sortKey="Rohrich, Rj" uniqKey="Rohrich R">RJ Rohrich</name>
</author>
<author><name sortKey="Copit, S" uniqKey="Copit S">S Copit</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Arnez, Zm" uniqKey="Arnez Z">ZM Arnez</name>
</author>
<author><name sortKey="Valdatta, L" uniqKey="Valdatta L">L Valdatta</name>
</author>
<author><name sortKey="Tyler, Mp" uniqKey="Tyler M">MP Tyler</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Dupin, Cl" uniqKey="Dupin C">CL Dupin</name>
</author>
<author><name sortKey="Allen, Rj" uniqKey="Allen R">RJ Allen</name>
</author>
<author><name sortKey="Glass, Ca" uniqKey="Glass C">CA Glass</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ninkovic, M" uniqKey="Ninkovic M">M Ninkovic</name>
</author>
<author><name sortKey="Anderl, H" uniqKey="Anderl H">H Anderl</name>
</author>
<author><name sortKey="Hefel, L" uniqKey="Hefel L">L Hefel</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Haywood, Rm" uniqKey="Haywood R">RM Haywood</name>
</author>
<author><name sortKey="Raurell, A" uniqKey="Raurell A">A Raurell</name>
</author>
<author><name sortKey="Perks, Ag" uniqKey="Perks A">AG Perks</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Munhoz, Am" uniqKey="Munhoz A">AM Munhoz</name>
</author>
<author><name sortKey="Ishida, Lh" uniqKey="Ishida L">LH Ishida</name>
</author>
<author><name sortKey="Montag, E" uniqKey="Montag E">E Montag</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Park, Mc" uniqKey="Park M">MC Park</name>
</author>
<author><name sortKey="Lee, Jh" uniqKey="Lee J">JH Lee</name>
</author>
<author><name sortKey="Chung, J" uniqKey="Chung J">J Chung</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Schmidt, M" uniqKey="Schmidt M">M Schmidt</name>
</author>
<author><name sortKey="Aszmann, Oc" uniqKey="Aszmann O">OC Aszmann</name>
</author>
<author><name sortKey="Beck, H" uniqKey="Beck H">H Beck</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="Hamdi, M" uniqKey="Hamdi M">M Hamdi</name>
</author>
<author><name sortKey="Blondeel, P" uniqKey="Blondeel P">P Blondeel</name>
</author>
<author><name sortKey="Van Landuyt, K" uniqKey="Van Landuyt K">K Van Landuyt</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Vesely, Mj" uniqKey="Vesely M">MJ Vesely</name>
</author>
<author><name sortKey="Murray, Dj" uniqKey="Murray D">DJ Murray</name>
</author>
<author><name sortKey="Novak, Cb" uniqKey="Novak C">CB Novak</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Rosson, Gd" uniqKey="Rosson G">GD Rosson</name>
</author>
<author><name sortKey="Holton, Lh" uniqKey="Holton L">LH Holton</name>
</author>
<author><name sortKey="Silverman, Rp" uniqKey="Silverman R">RP Silverman</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Lim, Sy" uniqKey="Lim S">SY Lim</name>
</author>
<author><name sortKey="Song, Hs" uniqKey="Song H">HS Song</name>
</author>
<author><name sortKey="Pae, Ns" uniqKey="Pae N">NS Pae</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Ncbi/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 006011 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd -nk 006011 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Ncbi |étape= Curation |type= RBID |clé= PMC:3840185 |texte= A Clinical Anatomic Study of Internal Mammary Perforators as Recipient Vessels for Breast Reconstruction }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/RBID.i -Sk "pubmed:24286051" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
This area was generated with Dilib version V0.6.31. |