Feller A M
Division of Plastic and Reconstructive Surgery, Technical University Munich, Germany.
Clin Plast Surg. 1994 Apr;21(2):223-32.
This article reports on 151 breast reconstructions that have been performed in 139 patients using the free TRAM flap. The critical steps of that procedure are evaluated and the muscle-sparing technique used in harvesting the flap as well as the necessity of an accurate donor site closure are emphasized. The results confirm that the free TRAM flap breast reconstruction provides the patient with a reliable, long-lasting good result with respect to the shape and volume of the new breast mound with a justifiable complication rate.
本文报道了139例患者采用游离腹直肌肌皮瓣进行的151例乳房再造手术。对该手术的关键步骤进行了评估，强调了在切取皮瓣时采用的保留肌肉技术以及精确关闭供区的必要性。结果证实，游离腹直肌肌皮瓣乳房再造术能为患者提供可靠、持久的良好效果，新乳房隆起的形状和体积良好，并发症发生率合理。
