Shukla H S, Gupta B, Sahni K, Samuells S
Eur J Surg Oncol. 1987 Aug;13(4):321-9.
Rectus abdominis myocutaneous flap has been used in four different therapeutic situations after mastectomy for breast cancer. These include (1) to obtain skin cover after radical mastectomy with liberal skin sacrifice for locally advanced cancer in 14 cases, (2) for skin cover to obtain primary wound healing in 10 cases treated by preoperative radiotherapy, (3) for delayed breast reconstruction in three patients and (4) for immediate postmastectomy breast reconstruction in 25 patients. Prosthesis was not used for breast reconstruction. The operative morbidity was minimal but 1-2 units of extra blood transfusion was required. Administration of adjuvant treatment, including chemotherapy and radiotherapy was not affected. Reconstruction was satisfactory.
腹直肌肌皮瓣已被用于乳腺癌乳房切除术后的四种不同治疗情况。这些情况包括：（1）在14例因局部晚期癌症而行根治性乳房切除术且大量牺牲皮肤的病例中用于获取皮肤覆盖；（2）在10例接受术前放疗的病例中用于获取皮肤覆盖以实现一期伤口愈合；（3）在3例患者中用于延迟乳房重建；（4）在25例患者中用于乳房切除术后即刻乳房重建。乳房重建未使用假体。手术并发症极少，但需要额外输注1 - 2单位血液。辅助治疗（包括化疗和放疗）的实施未受影响。重建效果令人满意。
