在乳房切除术中,自由膜乳房重建的时间对乳房皮肤缩的影响
Shahnur Ahmed1, Jordan Crabtree1, Kasra N Fallah1
1Division of Plastic Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
Journal of reconstructive microsurgery
|March 11, 2025
概括
立即的深下腹膜穿孔器 (DIEP) 片乳房重建增加了乳房切除术皮肤亡的风险. 在切除乳腺的另一天进行DIEP片重建可以显著降低这种风险.
科学领域:
- 微手术 微手术是一种微手术.
- 整形外科 整形外科 整形外科
- 乳房重建 乳房重建
背景情况:
- 深下腹膜穿孔器 (DIEP) 板是一种常见的自主乳房重建方法.
- 在乳房切除术后,DIEP板可以立即进行或延迟进行.
- 在手术期间长时间收缩可能会损害乳房切除术皮肤的活力.
研究的目的:
- 为了研究DIEP板定时对乳房切除术皮肤缩的影响.
- 为了比较即时和延迟即时DIEP重建之间的结果.
主要方法:
- 这是一项为期3年的单中心研究,对106名患者 (173个片) 进行了研究.
- 患者被分为即时DIEP (I组) 和延迟即时DIEP (II组) 组.
- 评估结果包括乳房切除术皮肤死及其管理.
主要成果:
- 乳房切除术皮肤 necrosis发生在11.3%的即时DIEP片与2.2%的延迟即时DIEP片 (p=0.025).
- 在7.5%的即时DIEP片中,需要进行皮肤缩的手术除,而在延迟即时DIEP片中,需要1.1% (p=0.0499).
结论:
- 立即的DIEP片重建显著增加了乳腺切除术皮肤缩的风险.
- 除了乳房切除外,分期进行DIEP片重建与较低的皮肤死率有关.
更多相关视频
08:05A Pre-clinical Rat Model for the Study of Ischemia-reperfusion Injury in Reconstructive Microsurgery
Published on: November 8, 2019
7.3K
13:35Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
2.3K
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
630
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
630
Healing II: Complications
37
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
37
