Breast Reconstruction with Lower Abdominal Tissue Free Transfer

Ahn,  Hee Chang

doi:2010.19.1.68

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Arch Hand Microsurg > Volume 19(1); 2010 > Article

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Journal of the Korean Society for Surgery of the Hand 2010;19(1):68-79.
Published online May 31, 2010.
DOI: https://doi.org/10.12790/jkssh.2010.19.1.68

Breast Reconstruction with Lower Abdominal Tissue Free Transfer

Hee Chang Ahn, M.D., Ph.D.

Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul, Korea. ahnhc@hanyang.ac.kr

하복부 조직 유리피판에 의한 유방재건술

안희창

Abstract

  Lower abdominal tissue is regarded as an ideal donor site for the breast reconstruction because it provides large skin territory and huge amount of soft tissues enough to the breast size. However it is not easy for the surgeon to reconstruct the really natural breast, and needs the learning curve with long time experience.
  Author represent the various reconstruction procedures for the breast using lower abdominal tissue such as muscle sparing free TRAM, DIEP, and SIEA free flaps to reinsure like breast. Indications, and selection of reconstructive methods, surgical timing, selection of donor sites and recipient vessel of these flaps were reviewed. In addition, detailed procedures, surgical tips and secondary adjuvant procedures are described for more symmetry of reconstructed breast. The muscle sparing free TRAM, DIEP, and SIEA free flaps would be enough to provide supple, huge amount of well vascularized tissue for the breast, if these flaps were selected for the appropriate indication according to patient’s general condition, obesity, the opposite breast and abdominal tissue condition. Lower abdominal tissue was able to provide versatile designs with sufficient adipose tissue without compromising the integrity of abdominal wall.

Key Words: free TRAM, DIEP Free Flap, SIEA Free Flap

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