Division of Plastic Surgery, Sacred Heart Hospital, Allentown, PA 18103, USA.
J Reconstr Microsurg. 2012 Nov;28(9):573-5. doi: 10.1055/s-0032-1315781. Epub 2012 Jun 28.
Autogenous tissue bilateral breast reconstruction often requires microsurgical tissue transfers. The reality is that sometimes revascularization cannot be accomplished, leading to a total flap failure. If one flap survives, another attempt using a second flap is necessary to achieve symmetry. Nonmicrosurgical options to achieve this are limited. If the successful flap is bulky enough, it can be bisected to create a local island flap based on the original flap pedicle to allow completion of the contralateral reconstruction. This concept is here presented using a split deep inferior epigastric artery perforator flap for sequential bilateral breast reconstruction.
自体组织双侧乳房再造通常需要显微外科组织转移。但现实是，有时血管重建无法完成，导致皮瓣全部坏死。如果一个皮瓣存活，就需要使用第二个皮瓣进行另一次尝试，以实现对称。实现这一目标的非显微外科选择是有限的。如果成功的皮瓣足够大，可以将其分为两部分，基于原始皮瓣蒂创建局部岛状皮瓣，以完成对侧重建。本文使用劈开的腹壁下动脉穿支皮瓣进行序贯双侧乳房再造，介绍了这一概念。
