Bucky L P, May J W
Department of Surgery, Massachusetts General Hospital, Boston.
Clin Plast Surg. 1994 Apr;21(2):273-7.
This technique has evolved over 13 years and has been associated with very few mesh-related complications. A recently reported study of 65 consecutive patients with a mean follow-up of 47.4 months reported a hernia rate of 1.5% (1 of 65) and an incidence of mesh-related infection of 1.5% (1 of 65). It appears that the use of polypropylene (Marlex mesh) offers the reconstructive surgeon several advantages, including elevation of the entire rectus flap, thereby preserving the entire blood supply to the rectus muscle. Second, the interrupted suture technique surrounding the mesh allows for greater distribution of force and diminishes the risk of fascial dehiscence. Therefore, one can obtain a tighter, narrower abdomen to achieve an improved aesthetic abdominal result. The TRAM flap breast reconstruction should not only yield a fine reconstructed breast but also deliver an aesthetic abdominal contour improvement that represents a significant benefit to the patient undergoing this procedure.
这项技术已经发展了13年，与极少的网片相关并发症有关。最近一项对65例连续患者进行的研究，平均随访47.4个月，报告疝气发生率为1.5%（65例中的1例），网片相关感染发生率为1.5%（65例中的1例）。聚丙烯（Marlex网片）的使用似乎为重建外科医生提供了几个优势，包括提升整个腹直肌瓣，从而保留腹直肌的全部血液供应。其次，围绕网片的间断缝合技术允许更大的力分布，并降低筋膜裂开的风险。因此，可以获得更紧致、更窄的腹部，以实现改善腹部美观的效果。横行腹直肌肌皮瓣乳房重建不仅应产生良好的乳房重建效果，还应改善腹部外形美观，这对接受该手术的患者来说是一项显著的益处。
