Vascular augmentation of an extended latissimus dorsi myocutaneous flap through an intercostal vessel: A preliminary report
Vascular augmentation of an extended latissimus dorsi myocutaneous flap through an intercostal vessel: A preliminary report
复制标题
通过肋间血管扩张背阔肌肌皮瓣的血管增强：初步报告
DOI：
10.3109/2000656x.2012.738608
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发表时间：
2013
影响因子：
1.2
通讯作者：
H. Ohjimi
中科院分区：
文献类型：
--
作者：
S. Takagi;Takuto Oyama;Kenji Yamazumi;Akiko Eto;H. Ohjimi
摘要扩大背阔肌皮瓣，包括髂后嵴周围的脂肪筋膜组织，是一个很好的选择，以重建一个巨大的乳房。然而，在延长部分的血管不良可能会导致部分脂肪坏死。为了最大限度地减少这个问题，对延长的脂肪筋膜部分进行了血管增强。当在LD肌下解剖时，固定了第11肋间血管的单个穿支，并沿肋骨向上沿着追踪。皮瓣转移至胸部后，肋间血管与胸背血管锯肌支吻合。这种血管增压延长LD皮瓣技术适用于选定的患者。术中血管造影显示，造影剂注入肋间动脉蔓延的腰脂肪筋膜部分的皮瓣。这意味着通过第11肋间血管的血管增压促进了延长的LD皮瓣的血供，并可能有助于降低皮瓣并发症的发生率。
Abstract The extended latissimus dorsi (LD) flap, which includes adipofascial tissue around the posterior iliac crest, is a good option to reconstruct a large breast. However, poor vascularity in the extended part may cause partial fat necrosis. To minimise this problem, vascular augmentation of the extended adipofascial part was performed. When dissecting under the LD muscle, a single perforator from the 11th intercostal vessels was secured and traced upwards along the rib. After the flap was transferred to the chest, the intercostal vessels were anastomosed to the serratus branches of thoracodorsal vessels. This vascular supercharged extended LD flap technique was applied for selected patients. Intraoperative angiography showed that the contrast medium injected into the intercostal artery spread across the lumbar adipofascial part of the flap. This implies that vascular supercharge through the 11th intercostal vessel promotes the vascularity of the extended LD flap and may help to reduce the flap complication rate.