INTRODUCTION: Ligation of the deep inferior epigastric vessels prior to transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction (delay procedure) was introduced to augment vascularity to the island flap through improved superior epigastric flow, thus decreasing flap morbidity. There are various surgical approaches described, including open and laparoscopic approaches, for ligation of inferior epigastric arteries. We describe an extraperitoneal laparoscopic technique (EPLT) and the outcomes of the procedure. METHODS: All patients who underwent EPLT prior to TRAM flap construction between July 2006 and December 2008 were included in the study. Data were analyzed retrospectively from a prospectively collected database. RESULTS: The study group included 11 female patients with mean age of 55 years and mean body mass index (BMI) of 34.4 kg/m(2). There were no conversions to open procedure. Ten patients had bilateral ligation of inferior epigastric arteries, and one patient had it only on one side. There were no complications related to the procedure. CONCLUSION: Extraperitoneal laparoscopic technique as a delay procedure for TRAM flap reconstruction is safe and feasible with no morbidity related to surgery.
展开▼
机译：简介：腹横肌直肌肌皮瓣（TRAM）皮瓣重建术（延迟手术）之前，上腹下深血管的结扎术通过改善上腹上腹血流增加了岛状皮瓣的血管形成，从而降低了皮瓣发病率。描述了用于结扎下腹上动脉的各种外科手术方法，包括开放式和腹腔镜方法。我们描述了腹膜外腹腔镜技术（EPLT）和该过程的结果。方法：2006年7月至2008年12月在TRAM皮瓣制作之前接受过EPLT的所有患者均纳入研究。从前瞻性收集的数据库中回顾性分析数据。结果：研究组包括11名女性患者，平均年龄为55岁，平均体重指数（BMI）为34.4 kg / m（2）。没有转换为打开过程。 10例双侧结扎上腹下动脉，其中1例仅一侧结扎。没有与手术相关的并发症。结论：腹腔镜腹腔镜技术作为TRAM皮瓣重建的延迟手术是安全可行的，且没有与手术相关的发病率。
展开▼
