Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Immediate Breast Reconstruction with TRAM Flap after Nipple-Areolar Sparing Mastectomy

유두-유륜 보존 유방절제술 후 횡복직근 피판술을 이용한 즉시 유방재건술

  • Suh, Hyun Suk (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Lee, Taik Jong (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Eom, Jin Sub (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Ahn, Sei Hyun (Department of Surgery, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Son, Byung Ho (Department of Surgery, Asan Medical Center, University of Ulsan, College of Medicine)
  • 서현석 (울산대학교 의과대학 서울아산병원 성형외과학) ;
  • 이택종 (울산대학교 의과대학 서울아산병원 성형외과학) ;
  • 엄진섭 (울산대학교 의과대학 서울아산병원 성형외과학) ;
  • 안세현 (울산대학교 의과대학 서울아산병원 외과학교실) ;
  • 손병호 (울산대학교 의과대학 서울아산병원 외과학교실)
  • Received : 2006.02.17
  • Published : 2006.09.10
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Abstract

Purpose: Skin-sparing mastectomy(SSM) with immediate breast reconstruction is becoming a proved option for early-stage breast cancer patients. Recently, skin-sparing mastectomy with preserving the nipple-areolar complex is becoming popular procedure. Methods: During a 13-month period, from April 2004 to January 2005, 101 cases of immediate breast reconstructions with pedicled TRAM flap were performed after 40 cases of nipple-areolar sparing mastectomies, 57 cases of skin-sparing mastectomies and 4 cases of modified radical mastectomies. Results: During the 11 months follow up period, necrosis of mastectomy skin flap occurred in 17.5%(n=10) after skin-sparing mastectomy and necrosis of mastectomy skin flap and nipple-areolar necrosis occurred in 30%(n=12) after nipple-areolar sparing mastectomy. These complications were healed after simple dressing without any surgical procedure. Conclusion: Nipple-areolar sparing mastectomy and immediate breast reconstruction with TRAM flap is good option for early breast cancer patients and some modifications are needed to reduce skin necrosis.

Keywords

References

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