Division of Plastic Surgery, Mayo Clinic, Mayo Building 12th Floor, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: https://twitter.com/MNanitatmohan.
Division of Plastic Surgery, Mayo Clinic, Mayo Building 12th Floor, 200 First Street Southwest, Rochester, MN 55905, USA.
Clin Plast Surg. 2020 Oct;47(4):611-619. doi: 10.1016/j.cps.2020.07.001. Epub 2020 Aug 12.
Pure autologous breast reconstruction in thin patients creates challenges. This review highlights techniques to optimize the scarce donor tissue available, approaches to reconstruction, and microsurgical techniques. A systematic approach to maximize breast volume and the skin envelope in patients who underwent pure autologous breast reconstruction by a single senior surgeon is presented with a clinical case series. Included in the study were 125 patients (217) with autologous breast reconstructions. Although DIEP flaps were the commonest flap used overall (79%), within in the low body mass index (<22) group, there was a greater use of Latissimus (32%), and thigh-based flaps (>50%).
在瘦患者中进行纯自体乳房重建存在挑战。本综述重点介绍了优化有限供体组织的技术、重建方法和显微外科技术。通过单一资深外科医生对纯自体乳房重建的患者，提出了一种系统的方法来最大限度地增加乳房体积和皮肤包膜，同时展示了一个临床病例系列。该研究包括 125 名患者（217 个乳房）接受了自体乳房重建。尽管 DIEP 皮瓣总体上是最常用的皮瓣（79%），但在低身体质量指数（<22）组中，Latissimus 皮瓣（32%）和大腿皮瓣（>50%）的使用更为常见。
