Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
TRAM FLAPS IN PATIENTS WITH ABDOMINAL SCARS
Autore:
TAKEISHI M; SHAW WW; AHN CY; BORUD LJ;
Indirizzi:
UNIV CALIF LOS ANGELES,SCH MED,DIV PLAST SURG,10833 LECONTE AVE LOS ANGELES CA 90024 UNIV CALIF LOS ANGELES,SCH MED,DIV PLAST SURG LOS ANGELES CA 90024 JIKEI UNIV,DEPT PLAST SURG TOKYO JAPAN
Titolo Testata:
Plastic and reconstructive surgery
fascicolo: 3, volume: 99, anno: 1997,
pagine: 713 - 722
SICI:
0032-1052(1997)99:3<713:TFIPWA>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMMEDIATE BREAST RECONSTRUCTION; ISLAND FLAP; MUSCULOCUTANEOUS FLAPS; EXPERIENCE; COMPLICATIONS; MASTECTOMY; ABDOMINOPLASTY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
M. Takeishi et al., "TRAM FLAPS IN PATIENTS WITH ABDOMINAL SCARS", Plastic and reconstructive surgery, 99(3), 1997, pp. 713-722

Abstract

Of 114 patients who had TRAM flap breast reconstruction, 46 (40 percent) had preexisting abdominal surgical scars. Sixty-six free TRAM flaps and 9 pedicled TRAM flaps were performed in the 46 patients. The records were analyzed to determine what impact, if any, abdominal scars had on postoperative complications. There were no reconstructive failures or significant (>25 percent) flap losses. Eight minor complicationsoccurred in 7 patients (15 percent). The incidences of abdominal-wallweakness (4.3 percent), partial flap loss (4.3 percent), minor fat necrosis (4.3 percent), and donor-site wound problems (4.3 percent) wereacceptable. Subcostal scars and multiple abdominal scars were found to predispose to skin complications. Right lower paramedian scars precluded free TRAM flaps because of damage to the inferior epigastric vessels in three of three patients. Both obesity (p = 0.003) and smoking (p = 0.05) were associated with a greater risk of wound-healing complications. We conclude that with certain technical modifications, TRAM flap reconstruction is a safe and effective procedure in patients with abdominal scars.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 14:18:07