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经中线筋膜切口进行腹壁下动脉穿支皮瓣蒂部解剖的方法

Approach to DIEP Flap Pedicle Dissection via a Midline Fascial Incision.

作者信息

Gowda Arvind U, Matatov Tim, McClure Kelsey, Mino Matthew, Zakhary Joseph

机构信息

From the Southwest Breast and Aesthetics, Phoenix, AZ.

出版信息

Plast Reconstr Surg Glob Open. 2024 Dec 19;12(12):e6392. doi: 10.1097/GOX.0000000000006392. eCollection 2024 Dec.

DOI:10.1097/GOX.0000000000006392
PMID:39703378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11658724/
Abstract

In this article, our technique for deep inferior epigastric pedicle dissection utilizing a midline fascial incision is described. Approaching these vessels via a midline facial incision provides facile access to the retrorectus space bilaterally, utilizes a dissection plane that facilitates preservation of nerve and muscle fibers, and allows for both efficient and ergonomic pedicle dissection. This method is safe and easily reproducible and may reduce abdominal donor site morbidity in deep inferior epigastric perforator flap breast reconstruction.

摘要

在本文中，我们描述了利用中线筋膜切口进行腹壁下深蒂解剖的技术。通过中线面部切口接近这些血管可双侧轻松进入腹直肌后间隙，利用便于保留神经和肌肉纤维的解剖平面，并允许高效且符合人体工程学的蒂部解剖。该方法安全且易于重复，可能会降低腹壁下深穿支皮瓣乳房重建中腹部供区的发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/e30580cf613d/gox-12-e6392-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/39931c576ea7/gox-12-e6392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/384a35b8da55/gox-12-e6392-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/90db12eb4777/gox-12-e6392-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/e30580cf613d/gox-12-e6392-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/39931c576ea7/gox-12-e6392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/384a35b8da55/gox-12-e6392-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/90db12eb4777/gox-12-e6392-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a1/11658724/e30580cf613d/gox-12-e6392-g004.jpg

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本文引用的文献

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Outpatient Microsurgical Breast Reconstruction.门诊显微外科乳房重建术
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2
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Plast Reconstr Surg. 2020 Sep;146(3):265e-275e. doi: 10.1097/PRS.0000000000007048.
3
The Robotic DIEP Flap.机器人游离皮瓣 DIEP。
Plast Reconstr Surg. 2020 Feb;145(2):340-343. doi: 10.1097/PRS.0000000000006529.
4
Impact of Rectus Muscle Injury during Perforator Dissection on Functional Donor Morbidity after Deep Inferior Epigastric Perforator Flap Breast Reconstruction.穿支皮瓣乳房重建术中穿支解剖时腹直肌损伤对供区功能并发症的影响
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