Yoo Aran, Palines Patrick A, Maier Mark A, Maddox Suma S, St Hilaire Hugo, Stalder Mark W
Division of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, La.
University Medical Center - LCMC Health, New Orleans, La.
Plast Reconstr Surg Glob Open. 2022 Mar 11;10(3):e4186. doi: 10.1097/GOX.0000000000004186. eCollection 2022 Mar.
Patients with a history of massive weight loss who are undergoing autologous breast reconstruction after mastectomy represent a unique surgical challenge. Although these patients often have an abundance of excess skin, it may be difficult to acquire sufficient tissue volume for adequate reconstruction of bilateral breasts using single flap techniques due to the paucity of subcutaneous fat. Stacked flap techniques have emerged as an effective method in thinner patients with suboptimal fat distribution who desire autologous breast reconstruction. This can serve as an ideal strategy, specifically in this patient population, when it serves the dual function of providing adequate volume for bilateral breast reconstruction and the secondary benefit of removing the excess skin present after massive weight loss. In this article, we discuss surgical techniques used during two cases of bilateral stacked flap breast reconstruction in cancer patients subsequent to massive weight loss.
有大量体重减轻病史且在乳房切除术后接受自体乳房重建的患者面临着独特的手术挑战。尽管这些患者通常有大量多余皮肤，但由于皮下脂肪稀少，使用单皮瓣技术可能难以获取足够的组织量来充分重建双侧乳房。对于脂肪分布欠佳、希望进行自体乳房重建的较瘦患者，堆叠皮瓣技术已成为一种有效的方法。当它能为双侧乳房重建提供足够的体积，并具有去除大量体重减轻后出现的多余皮肤这一额外益处时，这可以作为一种理想的策略，特别是在这类患者群体中。在本文中，我们讨论了两例癌症患者在大量体重减轻后进行双侧堆叠皮瓣乳房重建时所使用的手术技术。
