Roslan E J, Kelly E G, Zain M A, Basiron N H, Imran F H
Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, 56000 Cheras, Kuala Lumpur, Malaysia.
Royal College of Surgeons in Ireland, Ireland.
Med J Malaysia. 2017 Feb;72(1):85-87.
Breast reconstructive surgery has evolved tremendously since its inception. Following tumour clearance surgery, physical restoration with breast reconstruction is an important aspect of physical and emotional rehabilitation. Various methods have been described to suit patients demand for the best aesthetic outcome. Surgeon's preference, experience and practicality of differing procedures must be considered. We describe a simultaneous bilateral breast reconstruction with free deep inferior epigastric (DIEP) flap and pedicled transverse rectus abdominis musculocutaneous (TRAM) flap immediately post mastectomies for bilateral breast cancers. The surgery described has resulted in a reasonable technical ease, acceptable flap and abdominal morbidity and good aesthetic outcome.
自乳房重建手术开展以来，其已经有了巨大的发展。在肿瘤清除手术后，通过乳房重建进行身体修复是身体和情感康复的一个重要方面。为满足患者对最佳美学效果的需求，人们描述了各种方法。必须考虑外科医生的偏好、经验以及不同手术方法的实用性。我们描述了一种在双侧乳腺癌乳房切除术后立即采用游离腹壁下深动脉（DIEP）皮瓣和带蒂腹直肌肌皮（TRAM）皮瓣进行同期双侧乳房重建的方法。所描述的手术在技术上较为简便，皮瓣和腹部的并发症可接受，且美学效果良好。
