Young-Afat Danny A, Hoornweg Marije J, van Huizum Martine A
Department of Clinical Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Department of Plastic and Reconstructive Surgery, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Breast J. 2018 Mar;24(2):193-195. doi: 10.1111/tbj.12875. Epub 2017 Aug 14.
Autologous breast reconstructions are increasingly being performed. While increased risks for flap loss after free tissue transfer (FTT) in sickle cell patients are known to most plastic surgeons, risks for patients with sickle cell trait (SCT) are less known. Unfortunately, recommendations to prevent complications after FTT in SCT are still scarce. We present additional and novel surgical measures that we took aiming to enhance probabilities for successful FTT in a SCT patient undergoing autologous breast reconstruction. This is only the second case report describing a successful FTT without flap necrosis/loss in a patient with SCT, and the first successful report involving FTT in the breast.
自体乳房重建手术的开展越来越多。虽然大多数整形外科医生都知道镰状细胞病患者在进行游离组织移植（FTT）后皮瓣丢失的风险增加，但对于镰状细胞性状（SCT）患者的风险了解较少。不幸的是，关于预防SCT患者FTT后并发症的建议仍然很少。我们介绍了我们采取的额外且新颖的手术措施，旨在提高一名接受自体乳房重建的SCT患者成功进行FTT的概率。这是第二例描述SCT患者成功进行FTT且无皮瓣坏死/丢失的病例报告，也是首例涉及乳房FTT成功的报告。
