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横行腹部上切口皮瓣：推动供区腹部皮肤血供极限。

Transverse upper abdominal scars in DIEP flaps: pushing the limit of donor site abdominal skin perfusion.

机构信息

The Royal Marsden, London, UK.

出版信息

Ann R Coll Surg Engl. 2021 May;103(5):e169-e172. doi: 10.1308/rcsann.2020.7095.

DOI:10.1308/rcsann.2020.7095
PMID:33930283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10335218/
Abstract

We present two immediate breast reconstruction cases utilising deep inferior epigastric perforator (DIEP) flaps in the presence of upper transverse abdominal scars and their outcomes. The available evidence in relation to its impact on abdominal skin perfusion and published clinical experience is reviewed.

摘要

我们介绍了两例即刻乳房重建病例，在存在上腹部横向瘢痕的情况下使用了腹壁下动脉穿支皮瓣（DIEP），并报告了其结果。我们回顾了相关的关于其对腹部皮肤灌注影响的现有证据和已发表的临床经验。

相似文献

1
Transverse upper abdominal scars in DIEP flaps: pushing the limit of donor site abdominal skin perfusion.横行腹部上切口皮瓣：推动供区腹部皮肤血供极限。
Ann R Coll Surg Engl. 2021 May;103(5):e169-e172. doi: 10.1308/rcsann.2020.7095.
2
Harvesting free abdominal perforator flaps in the presence of previous upper abdominal scars.在存在先前上腹部瘢痕的情况下采集游离腹部穿支皮瓣。
J Plast Reconstr Aesthet Surg. 2014 Feb;67(2):219-25. doi: 10.1016/j.bjps.2013.10.047. Epub 2013 Nov 6.
3
Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction in Women With Previous Abdominal Incisions: A Comparison of Complication Rates.既往有腹部手术切口女性患者采用腹壁下动脉穿支皮瓣进行乳房重建：并发症发生率比较
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Use of both antegrade and retrograde internal mammary vessels in the bipedicled deep inferior epigastric perforator flap for unilateral breast reconstruction.在双蒂腹壁下深动脉穿支皮瓣中使用顺行和逆行胸廓内血管进行单侧乳房重建。
J Plast Reconstr Aesthet Surg. 2017 Jan;70(1):47-53. doi: 10.1016/j.bjps.2016.09.010. Epub 2016 Sep 20.
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The Low DIEP Flap: An Enhancement to the Abdominal Donor Site.低位腹壁下动脉穿支皮瓣：对腹部供区的一种改进
Plast Reconstr Surg. 2016 Jan;137(1):7e-13e. doi: 10.1097/PRS.0000000000001867.
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Tips and tricks for DIEP flap breast reconstruction in patients with previous abdominal scar.既往有腹部瘢痕患者行腹壁下动脉穿支皮瓣乳房重建的技巧与窍门。
Microsurgery. 2017 May;37(4):282-292. doi: 10.1002/micr.22457. Epub 2015 Aug 3.
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Unilateral Autologous Breast Reconstruction with Bi-pedicled, Conjoined Deep Inferior Epigastric Perforator Flaps.使用双蒂连体腹壁下深动脉穿支皮瓣进行单侧自体乳房重建术。
J Reconstr Microsurg. 2019 Feb;35(2):145-155. doi: 10.1055/s-0038-1668161. Epub 2018 Aug 15.
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Rezoning Free Muscle-Sparing Transverse Rectus Abdominis Myocutaneous Flaps Based on Perforasome Groupings and a New Understanding of the Vascular Architecture of the Deep Inferior Epigastric Artery-Based Flaps.基于穿支体分组及对腹壁下动脉穿支皮瓣血管构筑新认识的游离保留肌肉的腹直肌肌皮瓣重新分区
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Myth-Busting the DIEP Flap and an Introduction to the Abdominal Perforator Exchange (APEX) Breast Reconstruction Technique: A Single-Surgeon Retrospective Review.破除 DIEP 皮瓣的迷思与介绍腹部穿支皮瓣交换（APEX）乳房重建技术：单外科医师回顾性研究。
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The "Dual-Plane" DIEP Flap: Measuring the Effects of Superficial Arterial and Venous Flow Augmentation on Clinical Outcomes.“双平面” DIEP 皮瓣：测量浅表动脉和静脉血流增强对临床结果的影响。
J Reconstr Microsurg. 2019 Jul;35(6):411-416. doi: 10.1055/s-0038-1677013. Epub 2019 Jan 7.

本文引用的文献

1
Microcirculatory Evaluation of the Abdominal Skin in Breast Reconstruction with Deep Inferior Epigastric Artery Perforator Flap.腹壁下动脉穿支皮瓣乳房重建术中腹部皮肤的微循环评估
Plast Reconstr Surg Glob Open. 2016 Feb 10;4(2):e616. doi: 10.1097/GOX.0000000000000602. eCollection 2016 Feb.
2
Harvesting free abdominal perforator flaps in the presence of previous upper abdominal scars.在存在先前上腹部瘢痕的情况下采集游离腹部穿支皮瓣。
J Plast Reconstr Aesthet Surg. 2014 Feb;67(2):219-25. doi: 10.1016/j.bjps.2013.10.047. Epub 2013 Nov 6.
3
The effect of anterior abdominal wall scars on the vascular anatomy of the abdominal wall: A cadaveric and clinical study with clinical implications.腹壁瘢痕对腹壁血管解剖结构的影响：一项具有临床意义的尸体解剖与临床研究
Clin Anat. 2009 Oct;22(7):815-22. doi: 10.1002/ca.20851.
4
Effects of aesthetic abdominoplasty on abdominal wall perfusion: a quantitative evaluation.腹壁整形术对腹壁灌注的影响：定量评估
Plast Reconstr Surg. 2004 Nov;114(6):1586-94. doi: 10.1097/01.prs.0000138757.33998.ee.
5
Lipoabdominoplasty with selective and safe undermining.采用选择性安全皮下分离技术的腹部脂肪抽吸术。
Aesthetic Plast Surg. 2003 Jul-Aug;27(4):322-7. doi: 10.1007/s00266-003-3016-z.