...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Scandinavian journal of plastic and reconstructive surgery and hand surgery >Avoidance of complications after the use of deep inferior epigastric perforator flaps for reconstruction of the breast.
【24h】

Avoidance of complications after the use of deep inferior epigastric perforator flaps for reconstruction of the breast.

机译：使用深部上腹下穿孔皮瓣重建乳房后，避免并发症。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We assessed 50 consecutive unilateral deep inferior epigastric perforator (DIEP) flaps for breast reconstruction to find out our morbidity and how to avoid it. We routinely dissected the superficial epigastric vein bilaterally and perforators ipsilaterally. If there were insufficient perforators on the ipsilateral side, we then dissected the contralateral side. We made an additional anastomosis to the superficial epigastric vein in cases of venous congestion after reperfusion that could threaten flap survival. One perforator was used on 31 occasions, and the contralateral side was dissected in 16. A prophylactic anastomosis of superficial epigastric vein was done in 3. No flap was lost completely but 5 partially necrosed. A comparison of the first 25 and the second 25 flaps showed more dissections of the contralateral side and more prophylactic anastomoses of the superficial epigastric vein in the second 25. Partial necrosis was less common in the second 25. We suggest that more liberal dissection of the contralateral side and the prophylactic anastomosis of the superficial epigastric vein to lower morbidity and give better cosmetic results.
机译：我们评估了50个连续的单侧深腹下腹穿孔器（DIEP）皮瓣进行乳房再造，以了解我们的发病率以及如何避免它。我们例行解剖双侧上腹部浅表静脉，同侧解剖穿孔。如果在同侧没有足够的穿孔器，我们就解剖对侧。如果再灌注后静脉充血可能威胁皮瓣存活，我们对上腹部浅静脉进行了另一次吻合。 31次使用了一个穿孔器，在16处解剖了对侧。在3处进行了上腹部浅静脉的预防性吻合。没有完全丢失皮瓣，但有5处部分坏死。比较第一个25个瓣和第二个25个瓣，在第二个25个中，对侧解剖更多，上腹部浅表静脉的预防性吻合更多。在第二个25个中，局部坏死较少见。对侧和上腹部浅静脉的预防性吻合，可降低发病率并提供更好的美容效果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号