INTERNAL MAMMARY VESSELS - A RELIABLE RECIPIENT SYSTEM FOR FREE FLAPS IN BREAST RECONSTRUCTION
INTERNAL MAMMARY VESSELS - A RELIABLE RECIPIENT SYSTEM FOR FREE FLAPS IN BREAST RECONSTRUCTION
复制标题
DOI：
10.1016/0007-1226(95)90040-3
复制
发表时间：
1995-12-01
期刊：
影响因子：
--
通讯作者：
WECHSELBERGER, G
中科院分区：
文献类型：
--
作者：
NINKOVIC, M;ANDERL, H;WECHSELBERGER, G
在乳房切除后的游离瓣乳房重建术中，最广泛使用的受体血管位于腋下系统，这限制了乳房成形中瓣的移动和灵活性。此外，瘢痕形成和纤维化会使血管剥离变得困难。我们使用吻合于内乳房(胸)血管的游离腹直肌肌皮瓣进行了22例乳房重建。没有出现襟翼失效的情况。介绍了内乳系统的手术方法、优点和局限性，并将内乳血管与腋下血管作为受体血管系统进行了比较。
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.