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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Sbalchiero, Juliano Carlos de Albuquerque Leal, Paulo Roberto Dos Santos, César Cabello |
| Description | Country affiliation: Brazil Author Affiliation: Sbalchiero JC ( From the *Department of Plastic Surgery and Microsurgery, National Cancer Institute (INCA)) |
| Abstract | Seventeen patients were submitted to delayed unilateral breast reconstruction using pedicled, muscle-sparing turbocharged transverse rectus abdominis myocutaneous flap based on the contralateral perforator vessels. The lateral portion of the rectus abdominis muscle on the pedicled side was preserved in 12 patients. Zones II and IV were included in the flap in all cases. Mean duration of surgery was 7 hours and 15 minutes. Four complications developed in the abdominal donor site: contralateral abdominal bulging (n=1), minor suture dehiscence (n=2), and epidermolysis at the border of the abdominal flap and umbilical scar (n=1). Three partial losses (10%-30%) occurred in the reconstructed breast (17.64% of cases), whereas 2 cases of fat necrosis were associated with partial losses. One patient developed deep vein thrombosis with pulmonary embolism; however, outcome was favorable. This proved a viable alternative for breast reconstruction, with satisfactory results in most patients and acceptable morbidity and surgical time. |
| File Format | HTM / HTML |
| ISSN | 01487043 |
| Issue Number | 5 |
| Volume Number | 73 |
| e-ISSN | 15363708 |
| Journal | Annals of Plastic Surgery |
| Language | English |
| Publisher | Little, Brown And Company |
| Publisher Date | 2014-11-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Prospective Studies Myocutaneous Flap Clinical Trial Humans Middle Aged Treatment Outcome Breast Neoplasms Journal Article Discipline General Surgery Rectus Abdominis Surgery Follow-up Studies Microsurgery Mastectomy Adult Anastomosis, Surgical Female Aged Mammaplasty Methods |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
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