Nahabedian Maurice Y
Department of Plastic Surgery, Georgetown University, Washington, DC 20007, USA.
Gland Surg. 2015 Apr;4(2):145-53. doi: 10.3978/j.issn.2227-684X.2015.02.04.
The appearance of the donor site following breast reconstruction with abdominal flaps has become an important topic for study. Given the variety of flaps that are derived from the abdomen, decisions are often based on how much muscle and fascia will be harvested. Comparisons between muscle sparing and non-muscle sparing techniques have been performed with outcomes related to function and contour. Closure techniques will vary and include primary fascial closure, mesh reinforcement and additional fascial plication all of which can produce natural and sometimes improved abdominal contours. Proper patient selection however is important. This manuscript will describe various techniques in order to achieve ideal abdominal contour following autologous reconstruction.
采用腹部皮瓣进行乳房重建后供区的外观已成为一个重要的研究课题。鉴于源自腹部的皮瓣种类繁多，决策通常基于将切取多少肌肉和筋膜。已经对保留肌肉和不保留肌肉的技术进行了比较，并得出了与功能和外形相关的结果。闭合技术会有所不同，包括一期筋膜闭合、网片加强和额外的筋膜折叠，所有这些都可以产生自然且有时得到改善的腹部外形。然而正确的患者选择很重要。本手稿将描述各种技术，以便在自体乳房重建后获得理想的腹部外形。
