Giacalone Pierre-Ludovic, El Gareh Nouredine, Rihaoui Samia, Giovannini Uberto
Oncology Unit, Department of Obstetrics and Gynecology, Hôpital Arnaud de Villeneuve, Montpellier, France.
Breast J. 2006 Sep-Oct;12(5):481-4. doi: 10.1111/j.1075-122X.2006.00306.x.
Transverse rectus abdominis myocutaneous (TRAM) flap necrosis is a difficult reconstructive problem which historically has entailed protracted management with poor aesthetic outcome. The use of a foam suction dressing achieves effective delayed primary closure of the flap wound with an acceptable aesthetic result. The results of using a vacuum-assisted closure (VAC) system were examined in three patients. The VAC system was found to be safe and effective in facilitating the closure of large and complex wounds without skin grafting. This option should thus be given serious consideration in some difficult wound healing situations.
腹直肌横形肌皮瓣（TRAM瓣）坏死是一个棘手的重建问题，从历史上看，其处理过程漫长，美学效果不佳。使用泡沫吸引敷料可有效实现皮瓣伤口的延迟一期闭合，美学效果尚可接受。对3例患者使用负压封闭引流（VAC）系统的结果进行了检查。发现VAC系统在促进大型复杂伤口的闭合且无需植皮方面安全有效。因此，在一些困难的伤口愈合情况下，应认真考虑这一选择。
