筋皮弁による一期的乳房再建術

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  • IMMEDIATE RECONSTRUCTION OF THE BREAST WITH MYOCUTANEOUS FLAP

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We experienced fifteen cases of breast reconstruction to the early stage of breast cancer. This report detalis our operative technique of breast reconstruction utilizing the transverse rectus abdominis myocutaneous flap and the latissimus dorsi myocutaneous flap, and refers to the necessity as well as problems. <BR>The rectus abdominis myocutaneous flap has enough volume to reconstruct a breast completely without a mammary implant. And there is a convinience of operating on a patient lying spine on the operation table. Donor site scar is inconspicuous and the procedure offers an additional benifit of abdominoplasty to the middle aged women. But some problems include a lower abdominal weakness and an insufficiency of vascular supply at the cantralateral flap tip. abdominal wall hernia will be prevented using MARLEX MESHR. And we tried to excise distal portion of the flap. <BR>The silicon prosthesis is applied to the reconstruction using the latissimus dorsi myocutaneous flap, becaue the flap has not enough volume to reconstruct a breast by itself. It is necessary to take care of postoperative capsulation.

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