Butler Paris D, Wu Liza C
Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.
Gland Surg. 2015 Jun;4(3):212-21. doi: 10.3978/j.issn.2227-684X.2015.03.08.
Abdominally based free flaps have become the mainstay for women that desire to use their own tissue as a means of breast reconstruction after mastectomy. As the techniques have evolved, significant effort has been invested in finding the best means of minimizing morbidity to the abdominal donor site while ensuring a viable reconstructed breast that is aesthetically pleasing. This manuscript reviews and compares the muscle sparing free transverse rectus abdominis myocutaneous (MsfTRAM), the deep inferior epigastric artery perforator (DIEP), and the superficial inferior epigastric artery (SIEA) flaps, regarding flap success rate, operative times, abdominal donor site morbidity and residual functionality, hospital lengths of stay and associated costs, impact of co-morbid conditions, and resilience after adjuvant radiation treatment.
对于希望在乳房切除术后利用自身组织进行乳房重建的女性而言，腹部带蒂游离皮瓣已成为主要手段。随着技术的发展，人们投入了大量精力来寻找最佳方法，在确保重建乳房美观且存活的同时，将腹部供区的发病率降至最低。本文回顾并比较了保留肌肉的游离腹直肌肌皮瓣（MsfTRAM）、腹壁下深动脉穿支皮瓣（DIEP）和腹壁下浅动脉皮瓣（SIEA），内容涉及皮瓣成功率、手术时间、腹部供区发病率和残余功能、住院时间及相关费用、合并症的影响以及辅助放疗后的恢复能力。
