Massey Marga F, Spiegel Aldona J, Levine Joshua L, Craigie James E, Kline Richard M, Khoobehi Kamran, Erhard Heather, Greenspun David T, Allen Robert J, Allen Robert J
Chicago, Ill.; Houston, Texas; New York and Bronx, N.Y.; Mt. Pleasant and Charleston, S.C.; and Metairie, La. From the Medical University of South Carolina and The Dr. Marga Practice Group; The Center for Breast Reconstruction; The Center for Microsurgical Breast Reconstruction; The Center for Natural Breast Reconstruction; private practice; Bronx Plastic Surgery; and New York University.
Plast Reconstr Surg. 2009 Sep;124(3):737-751. doi: 10.1097/PRS.0b013e3181b17a56.
Perforator flap breast reconstruction is an accepted surgical option for breast cancer patients electing to restore their body image after mastectomy. Since the introduction of the deep inferior epigastric perforator flap, microsurgical techniques have evolved to support a 99 percent success rate for a variety of flaps with donor sites that include the abdomen, buttock, thigh, and trunk. Recent experience highlights the perforator flap as a proven solution for patients who have experienced failed breast implant-based reconstructions or those requiring irradiation. Current trends suggest an application of these techniques in patients previously felt to be unacceptable surgical candidates with a focus on safety, aesthetics, and increased sensitization. Future challenges include the propagation of these reconstructive techniques into the hands of future plastic surgeons with a focus on the development of septocutaneous flaps and vascularized lymph node transfers for the treatment of lymphedema.
穿支皮瓣乳房重建术是乳腺癌患者在乳房切除术后选择恢复身体形象的一种公认的手术选择。自下腹深穿支皮瓣问世以来，显微外科技术不断发展，使得各种皮瓣的成功率达到了99%，其供区包括腹部、臀部、大腿和躯干。最近的经验表明，对于乳房植入物重建失败的患者或需要放疗的患者，穿支皮瓣是一种经过验证的解决方案。当前的趋势表明，这些技术正在应用于以前被认为不适合手术的患者，重点是安全性、美学和提高敏感性。未来的挑战包括将这些重建技术传授给未来的整形外科医生，重点是开发用于治疗淋巴水肿的隔皮瓣和带血管淋巴结转移术。
