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腹直肌前鞘旋转皮瓣在横行腹直肌肌皮瓣乳房重建中预防疝气的应用

Rotation flap of the anterior rectus abdominis sheath for hernia prevention in TRAM breast reconstruction.

作者信息

Amir Abraham, Silfen Ram, Hauben Daniel J

机构信息

Department of Plastic and Reconstructive Surgery, Rabin Medical Center, Bellinson Campus, Petah Tiqva 49100, Israel.

出版信息

Ann Plast Surg. 2003 Feb;50(2):207-11. doi: 10.1097/01.SAP.0000029631.35768.1B.

DOI:10.1097/01.SAP.0000029631.35768.1B
PMID:12567063
Abstract

Prevention of hernia or bulge of the abdominal wall after TRAM breast reconstruction has been a challenge for the reconstruction surgeon. Different techniques have been described to avoid this complication. The use of anterior rectus abdominis sheath (ARAS) for the repair of various abdominal wall hernias has been well described in the literature and is the basis of the authors' technique. The authors present the use of ARAS flap in TRAM breast reconstruction. It is a simple and safe technique using autologous tissues for hernia or bulge prevention.

摘要

在横行腹直肌肌皮瓣乳房重建术后预防腹壁疝或腹壁膨出一直是重建外科医生面临的一项挑战。已有多种不同技术被描述用于避免这一并发症。文献中已详细介绍了使用腹直肌前鞘(ARAS)修复各种腹壁疝,这也是作者技术的基础。作者介绍了在横行腹直肌肌皮瓣乳房重建中使用ARAS皮瓣。这是一种使用自体组织预防疝或膨出的简单且安全的技术。

相似文献

1
Rotation flap of the anterior rectus abdominis sheath for hernia prevention in TRAM breast reconstruction.腹直肌前鞘旋转皮瓣在横行腹直肌肌皮瓣乳房重建中预防疝气的应用
Ann Plast Surg. 2003 Feb;50(2):207-11. doi: 10.1097/01.SAP.0000029631.35768.1B.
2
[The effectiveness of prolene patch in hernia prevention following harvesting rectus abdominis myocutaneous flap].[普理灵补片在腹直肌肌皮瓣切取术后预防疝形成中的有效性]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2001 Nov;15(6):335-7.
3
Double pedicle deep inferior epigastric perforator/muscle-sparing TRAM flaps for unilateral breast reconstruction.双蒂腹壁下深动脉穿支/保留肌肉的横行腹直肌肌皮瓣用于单侧乳房重建。
Ann Plast Surg. 2007 Apr;58(4):359-63. doi: 10.1097/01.sap.0000239818.28900.81.
4
[Abdominal repair after harvesting a rectus abdominis myocutaneous flap].[腹直肌肌皮瓣切取后的腹部修复]
Ann Chir Plast Esthet. 1999 Aug;44(4):413-24.
5
[Closure of the abdominal wall after removal of a mucocutaneous flap from the transverse rectus abdominis for breast reconstruction. Apropos of 48 cases. Review of the literature].[从腹直肌横部切取黏膜皮肤瓣用于乳房重建后腹壁的关闭。附48例病例。文献综述]
Ann Chir Plast Esthet. 1994 Dec;39(6):733-41.
6
[Clinical application of transverse rectus abdominis musculocutaneous flap reserving partial anterior sheath (TRAM-RPAS) in the one-stage breast reconstruction for patients with breast cancer].保留部分前鞘腹直肌肌皮瓣(TRAM-RPAS)在乳腺癌患者一期乳房重建中的临床应用
Zhonghua Zheng Xing Wai Ke Za Zhi. 2008 Jul;24(4):291-3.
7
[TRAM flap breast reconstruction using a fascia-sparing technique].
Nihon Geka Gakkai Zasshi. 1999 Sep;100(9):547-50.
8
[Breast reconstruction with a TRAM flap].[带蒂横行腹直肌肌皮瓣乳房重建术]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2001 Nov;17(6):341-3.
9
[Rectus abdominis free flap breast reconstruction. A series of 23 cases].
Ann Chir Plast Esthet. 1997 Apr;42(2):147-55.
10
[Analysis of 156 breast reconstructions by transverse rectus abdominis muscle flap (TRAM)].腹直肌横形肌皮瓣(TRAM)乳房再造156例分析
Ann Chir Plast Esthet. 1994 Feb;39(1):77-86.

引用本文的文献

1
Does the use of an acellular dermal graft in abdominal closure after rectus flap harvest impact the occurrence of post-operative hernia?在腹直肌皮瓣切取后使用脱细胞真皮移植物进行腹壁关闭是否会影响术后疝的发生?
Oral Maxillofac Surg. 2015 Dec;19(4):347-51. doi: 10.1007/s10006-015-0498-1. Epub 2015 Apr 26.
2
Improving tension decrease in components separation technique.提高组件分离技术中的张力降低效果。
Hernia. 2014 Feb;18(1):123-9. doi: 10.1007/s10029-013-1094-7. Epub 2013 May 7.
3
Factors associated with hernia and bulge formation at the donor site of the pedicled TRAM flap.
带蒂腹直肌肌皮瓣供区疝及隆起形成的相关因素。
Eur J Plast Surg. 2010 Aug;33(4):203-208. doi: 10.1007/s00238-010-0418-4. Epub 2010 Apr 7.