Anaesthesia for free flap breast reconstruction
نویسندگان
چکیده
منابع مشابه
Sensibility following innervated free TRAM flap for breast reconstruction.
BACKGROUND The free transverse rectus abdominis musculocutaneous (TRAM) flap has proven to be a reliable means of recreating the aesthetic breast form after mastectomy. The purpose of this study was to determine whether neurotization of the free TRAM flap improved sensation of the reconstructed breast. METHODS Twenty-seven patients undergoing 37 free TRAM flap reconstructions were randomized ...
متن کاملBREAST RECONSTRUCTION USING TRAM FLAP: PROSPECTIVE OUTCOME AND COMPLICATIONS
ABSTRACT Background: The transverse rectus abdominis musculocutaneous (TRAM) flap remains the gold standard for postmastectomy reconstruction either immediate or delayed. However, transfer of TRAM flap can be associated with donor site morbidities and complications in flap. A successful reconstruction consists of careful patient selection, surgical technique and meticulous preoperative plannin...
متن کاملAnterolateral thigh flap for postmastectomy breast reconstruction.
Most postmastectomy defects are reconstructed by use of lower abdominal-wall tissue either as a pedicled or free flap. However, there are some contraindications for using lower abdominal flaps in breast reconstruction, such as inadequate soft-tissue volume, previous abdominoplasty, lower paramedian or multiple abdominal scars, and plans for future pregnancy. In such situations, a gluteal flap h...
متن کاملAccidental latissimus dorsi flap pedicle avulsion during immediate breast reconstruction: salvage by conversion to free flap.
Pedicle damage is a rare complication of latissimus dorsi (LD) flap breast reconstruction. We report a case of accidental avulsion of the vascular pedicle of a totally autologous (extended) LD flap during immediate breast reconstruction in a patient who had previously undergone contralateral breast reconstruction with a pedicled TRAM flap based on the opposite superior epigastric vessels. The i...
متن کاملBreast Reconstruction Using a TRAM Free Flap with a Mini-Abdominoplasty Design and Flap Beveling
Breast cancer is the most common malignant disease in the female population. Significant psychological, social, and sexual morbidity can follow mastectomy for treatment of breast cancer owing to the realization of the life-threatening disease as well as impaired body image [1]. Breast reconstruction improves the patient’s self-confidence after the loss of a breast from cancer or trauma [2]. Of ...
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ژورنال
عنوان ژورنال: BJA Education
سال: 2016
ISSN: 2058-5349
DOI: 10.1093/bjaed/mkv036