Salvage of total loss of DIEP and skin envelope in breast reconstruction with tissue expansion.
نویسندگان
چکیده
We present two cases of breast reconstruction using abdominal tissue expansion as a salvage procedure for those patients who have had multiple sequential complications using the traditional free flap techniques yet still request some form of reliable breast reconstruction.
منابع مشابه
Skin-sparing mastectomy and immediate reconstruction with DIEP flap after breast-conserving therapy
BACKGROUND Currently about 70% of women who suffer from breast cancer undergo breast-conserving therapy (BCT) without removing the entire breast. Thus, this surgical approach is the standard therapy for primary breast cancer. If corrections are necessary, the breast surgeon is faced with irritated skin and higher risks of complications in wound healing. After radiation, an implant-based reconst...
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Aim: Autologous tissue is considered the “gold standard” for breast reconstruction today. However, little is known about deep inferior epigastric perforator (DIEP) flap reconstruction in combination with tissue expander (TE)/implant. The authors describe a series of combined DIEP flap/TE reconstruction, including its indications and technique to ensure protection of the pedicle during the expan...
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The management of soft tissue defects in tibial fractures is essential for limb preservation. Current techniques are not without complications and may lead to poor functional outcomes. A salvage method is described using three illustrative cases whereby a combination of flaps and antibiotic-impregnated polymethylmethacrylate beads are employed to fill the bony defect, fight the infection, and...
متن کاملFour-flap Breast Reconstruction: Bilateral Stacked DIEP and PAP Flaps
BACKGROUND In cases of bilateral breast reconstruction when the deep inferior epigastric perforator (DIEP) free flap alone does not provide sufficient volume for body-specific reconstruction, stacking each DIEP flap with a second free flap will deliver added volume and maintain a purely autologous reconstruction. Stacking the profunda artery perforator (PAP) flap with the DIEP flap offers favor...
متن کاملImmediate Breast Tissue Expander-Implant Reconstruction With Inferolateral AlloDerm Hammock and Postoperative Radiation: A Preliminary Report
OBJECTIVE To preserve the mastectomy skin envelope in select patients destined to receive radiation following mastectomy, we performed immediate tissue expander-implant reconstruction with a subpectoral tissue expander and an inferolateral AlloDerm hammock for complete implant coverage. We hypothesized that the AlloDerm hammock may allow greater intraoperative volume expansion and potentially a...
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عنوان ژورنال:
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS
دوره 62 10 شماره
صفحات -
تاریخ انتشار 2009