New Microsurgical Breast Reconstruction Using Free Paraumbilical Perforator Adiposal Flaps
New Microsurgical Breast Reconstruction Using Free Paraumbilical Perforator Adiposal Flaps
复制标题
使用游离脐旁穿支脂肪瓣的新型显微外科乳房再造术
DOI：
10.1097/00006534-200007000-00011
复制
发表时间：
2000
影响因子：
3.6
通讯作者：
T. Moriguchi
中科院分区：
文献类型：
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作者：
I. Koshima;K. Inagawa;Mayumi Yamamoto;T. Moriguchi
&NA;带蒂横形腹直肌肌皮瓣（TRAM）通常用于双侧乳房缺损。这种方法的主要缺点是腹直肌的全部或部分丧失以及由此产生的各种术后并发症，如腹胀和腰痛。随着穿支皮瓣和吻合0.5 mm口径血管的超显微手术的发展，这些严重的并发症可以通过脐旁穿支皮瓣来克服，而不会牺牲腹直肌。一名57岁的女性接受了双侧皮下乳房切除术，包括硅胶假体，同时使用这种新方法使用游离脐旁穿支皮瓣修复乳房。这种新的方法隆胸与血管化的脂肪皮瓣，没有任何肌肉成分是微创的，其优点是保留腹直肌和短时间内提升脂肪皮瓣。（Plast。重建106：61，2000）。
&NA; Pedicled transverse rectus abdominis musculocutaneous (TRAM) flaps have generally been used for bilateral breast losses. The major disadvantages of this method are the total or partial loss of the rectus abdominis muscles and various resulting postoperative complications, such as abdominal bulging and lumbar pain. With the recent development of perforator flaps and supermicrosurgery with anastomosis of 0.5‐mm caliber vessels, these serious complications can be overcome with a paraumbilical perforator adiposal flap, without sacrificing the rectus abdominis muscle. The breasts of a 57‐year‐old woman who had undergone a bilateral subcutaneous mastectomy, including silicone prostheses, were repaired simultaneously with this new method using free paraumbilical perforator adiposal flaps. This new method of breast augmentation with a vascularized adiposal flap and without any muscle component is minimally invasive; its advantages are the preservation of the rectus abdominis muscles and the short time elevation for the adiposal flap. (Plast. Reconstr. Surg. 106: 61, 2000.)
Koshima,I.：“游离脐旁穿支薄皮瓣。”
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