Munhoz Alexandre Mendonça, Montag Eduardo, Arruda Eduardo, Aldrighi Claudia, Filassi José Roberto, de Barros Alfredo Carlos, Piato José Roberto, Prado Luis, Petti Domingos, Baracat Edmund, Ferreira Marcus Castro
Division of Plastic Surgery and Breast Surgery Group, University of São Paulo School of Medicine, Rua da Consolação 3605 ap 91 ZIP 01416-001 Sao Paulo, SP, Brazil.
Breast. 2007 Dec;16(6):577-89. doi: 10.1016/j.breast.2007.04.008. Epub 2007 Jun 12.
The objective of this study is to describe the surgical planning of the inferior dermoglandular pedicle (IDP) technique and its outcome following partial mastectomy reconstruction. A total of 26 patients with breast cancer underwent immediate IDP reconstruction. IDP was indicated to reconstruct superior/central breast defects. Postoperative complications were evaluated and information on esthetic result and satisfaction were collected. About 57.6 percent had tumors measuring 2cm or less (T1). Immediate complications occurred in 34.2 percent with skin necrosis in 11.4 and dehiscence in 7.6 percent. Late complications were observed in 11.4 percent. The cosmetic result was considered to be good or very good in 88.4 percent and the majority of patients were satisfied. All complications were treated by conservative approach. IDP is a reliable technique and should be given consideration in cases of superior/central quadrant reconstruction. The success of the procedure depends on patient selection and careful intra-operative management.
本研究的目的是描述下皮腺蒂（IDP）技术的手术规划及其在保乳重建后的效果。共有26例乳腺癌患者接受了即刻IDP重建。IDP用于修复乳房上/中央缺损。评估术后并发症，并收集美学效果和满意度信息。约57.6%的患者肿瘤大小为2cm或更小（T1）。34.2%的患者出现即刻并发症，其中11.4%为皮肤坏死，7.6%为裂开。11.4%的患者出现晚期并发症。88.4%的患者美容效果被认为良好或非常好，大多数患者感到满意。所有并发症均采用保守方法治疗。IDP是一种可靠的技术，在乳房上/中央象限重建的病例中应予以考虑。该手术的成功取决于患者的选择和术中的仔细管理。
