Vijayasekaran Aparna, Mohan Anita T, Zhu Lin, Sharaf Basel, Saint-Cyr Michel
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Clin Plast Surg. 2017 Apr;44(2):361-369. doi: 10.1016/j.cps.2016.12.006. Epub 2017 Feb 9.
Use of the retrograde limb of the internal mammary vein has been described previously as a lifeboat for venous congestion but not prophylactically. Maximizing the length of the deep inferior artery perforator (DIEP) flap pedicle, identifying and dissecting the superficial inferior epigastric vein proximally in every patient, and taking advantage of the retrograde internal mammary vein are all technical details that facilitate the additional venous anastomosis and flap inset. Performing a second venous anastomosis routinely using the superficial inferior epigastric vein to the retrograde internal mammary vein helps with flap inset.
先前已将乳内静脉的逆行支描述为静脉淤血的“救生艇”，但并非预防性使用。最大化腹壁下深动脉穿支（DIEP）皮瓣蒂的长度、在每位患者中向近端识别并解剖腹壁浅静脉以及利用乳内静脉的逆行支，都是有助于进行额外静脉吻合和皮瓣植入的技术细节。常规使用腹壁浅静脉与乳内静脉的逆行支进行第二次静脉吻合有助于皮瓣植入。
