阿根廷自主乳房重建的现状
Claudio Angrigiani1, Alberto Rancati1, Esteban Spinelli1
1Oncoplastic Program, Hospital de Clinicas Jose de San Martin, Universidad de Buenos Aires, Buenos Aires, Argentina.
Gland surgery
|November 15, 2024
概括
当地和附近的片提供有效的自主乳房重建选择,当微手术是不可行的. 这些技术为瘤切除,减肥和植入物修复病例提供了出色的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 在瘤学瘤学.
背景情况:
- 组织扩张和植入物很常见,但自主组织经常用于乳房重建.
- 深下腹膜动脉穿孔器 (DIEP) 是自主乳房重建的黄金标准.
- 在特定的临床情况下,即使有微手术设施,也优先选择局部和附近的片.
研究的目的:
- 描述作者使用本地和附近片用于自主乳房重建的经验.
- 详细介绍在瘤切除后,减肥后体积置换以及植入移植病例中的应用.
- 突出患者对这些替代片技术的满意度和结果.
主要方法:
- 使用了经过修改的背脊肌肉皮肤 (LD) .
- 用于皮肤节省乳房切除术和乳头-乳房膜重建的使用的胸椎动脉穿孔.
- 应用侧侧肋间动脉穿孔器 (LICAP) 和修改的前肋间动脉穿孔器片.
- 描述了中间肋间动脉穿孔和反向LICAP技术.
主要成果:
- 优秀的结果和高的患者满意度报告了修改后的LD.
- 胸背动脉穿孔板适用于特定场景,包括照射患者.
- 利卡普 (LICAP) 片为乳房重建提供了多功能组织采集和旋转.
- 修改的前肋间动脉穿孔被成功用于移植后体积重建.
- 中间肋间动脉穿孔和反向LICAP为中间乳房体积提供了选择.
结论:
- 局部和附近的板是自主乳房重建的有价值的替代方案.
- 这些技术解决了患者的各种需求,包括瘤缺陷和美学问题.
- 患者的满意度很高,这强调了当DIEP不适合或不可行时,这些翻盖选项的有效性.
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