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腹腔镜手术后腹壁下血管损伤后游离腹壁下动脉穿支皮瓣的挽救治疗

Salvage of a DIEP Flap after Injury to the Inferior Epigastric Vessels after Laparoscopic Surgery.

作者信息

Solberg Laura H J, Cornelissen Anouk J M, van Cruchten Cas, Qiu Shan Shan

机构信息

Department of Plastic Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.

Department of General Surgery, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.

出版信息

Plast Reconstr Surg Glob Open. 2022 Mar 18;10(3):e4169. doi: 10.1097/GOX.0000000000004169. eCollection 2022 Mar.

DOI:10.1097/GOX.0000000000004169
PMID:35317458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8932472/
Abstract

The problem of previous laparoscopic scars specifically endangering the DIEP flap harvest for breast reconstruction has not been described yet. Even though in our center, preoperative imaging by means of an magnetic resonance angiography (MRA) is routinely performed before a bilateral DIEP-flap reconstruction, it may not correspond with the intraoperative findings. This case was presented to increase awareness among plastic surgeons about the complications after laparoscopic surgery and to emphasize the importance of thorough history taking when performing a DIEP flap breast reconstruction after previous laparoscopic procedures.

摘要

既往腹腔镜手术瘢痕对用于乳房重建的腹壁下动脉穿支皮瓣（DIEP瓣）切取构成特殊风险的问题尚未见报道。尽管在我们中心，常规在双侧DIEP瓣重建术前通过磁共振血管造影（MRA）进行术前成像，但这可能与术中所见并不相符。本文报告此病例旨在提高整形外科医生对腹腔镜手术后并发症的认识，并强调在既往有腹腔镜手术史的患者行DIEP瓣乳房重建时详细询问病史的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/6af527d0de4e/gox-10-e4169-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/051a1ad22d1c/gox-10-e4169-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/3740e67abf13/gox-10-e4169-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/14c59a74ce9c/gox-10-e4169-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/6af527d0de4e/gox-10-e4169-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/051a1ad22d1c/gox-10-e4169-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/3740e67abf13/gox-10-e4169-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/14c59a74ce9c/gox-10-e4169-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59af/8932472/6af527d0de4e/gox-10-e4169-g004.jpg

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Salvage of a DIEP Flap after Injury to the Inferior Epigastric Vessels after Laparoscopic Surgery.腹腔镜手术后腹壁下血管损伤后游离腹壁下动脉穿支皮瓣的挽救治疗
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本文引用的文献

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Imaging of inguinal-related groin pain in athletes.运动员腹股沟相关腹股沟疼痛的影像学检查
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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。
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