Plastic Surgery Unit 'Sant'Andrea Hospital, School of Medicine and Psychology, "Sapienza" University of Rome, Rome, Italy.
Plastic Surgery Unit 'Sant'Andrea Hospital, School of Medicine and Psychology, "Sapienza" University of Rome, Rome, Italy.
J Plast Reconstr Aesthet Surg. 2014 Apr;67(4):456-60. doi: 10.1016/j.bjps.2013.12.033. Epub 2013 Dec 31.
Currently, the choice for recipient vessels in microvascular breast reconstruction is made between axillary and internal mammary regions. The authors report their experience with anastomosis to a new, unconventional, axillary recipient vessel, the serratus anterior muscle vascular pedicle. Among 340 deep inferior epigastric perforator (DIEP) flap breast reconstructions performed between 2004 and 2013, 11 were successfully revascularised to the serratus anterior (SA) pedicle: In three cases, complications led to a salvage procedure, while in eight cases, anastomosis to this recipient site was electively planned. The pedicle was constantly present, with calibre always comparable to that of flap's pedicle. At the mean 24-month follow-up, no recipient site complications were observed. The SA muscle pedicle resulted as a reliable choice in salvage procedures and a suitable option for recipient vessel selection in elective cases.
目前，微血管乳房重建中受区血管的选择在腋窝和内乳区之间。作者报告了他们在吻合一种新的非常规腋窝受区血管——前锯肌血管蒂方面的经验。在 2004 年至 2013 年间进行的 340 例腹壁下动脉穿支（DIEP）皮瓣乳房重建中，有 11 例成功地再血管化到前锯肌（SA）蒂：在 3 例中，并发症导致挽救性手术，而在 8 例中，吻合该受区是选择性计划的。蒂始终存在，口径始终与皮瓣的蒂相当。在平均 24 个月的随访中，未观察到受区并发症。前锯肌肌蒂在挽救性手术中是一种可靠的选择，也是选择性受区血管选择的合适选择。
