keyword
https://read.qxmd.com/read/38394671/trunk-muscle-function-and-core-stability-in-women-who-had-muscle-sparing-pedicled-transverse-rectus-abdominis-myocutaneous-flap-breast-reconstruction
#1
JOURNAL ARTICLE
Lih-Jiun Liaw, Shih-Fen Hsiao, Ar-Tyan Hsu
OBJECTIVE: The long-term effects of the unilateral muscle-sparing pedicled transverse rectus abdominis myocutaneous (TRAMmsp) flap procedure on trunk muscle performances and core stability were investigated in women with breast cancer. METHODS: Forty women (mean age = 42.6 years) who had received breast reconstruction with the unilateral TRAMmsp flap procedure no less than 6 months earlier (mean = 10.3 [SD = 4...
February 23, 2024: Physical Therapy
https://read.qxmd.com/read/38296237/-clinical-effect-of-modified-vertical-rectus-abdominis-myocutaneous-flap-in-repairing-skin-and-soft-tissue-defects-after-abdominoperineal-resection-for-rectal-cancer
#2
JOURNAL ARTICLE
M T Huang, Z Qu, P F Liang, W D Liu, Z Y He, X Cui, L Guo, J Chen, M J Li, X Y Huang, P H Zhang
Objective: To investigate the clinical effect of the modified vertical rectus abdominis myocutaneous flap in repairing the skin and soft tissue defect after abdominoperineal resection for rectal cancer. Methods: This study was a retrospective observational study. From June 2019 to July 2022, five male patients with low rectal cancer who were conformed to the inclusion criteria were admitted to the Department of Basic Surgery of Xiangya Hospital of Central South University, with ages ranging from 65 to 70 years and the sizes of the perianal skin ulcers ranging from 5 cm×4 cm to 11 cm×9 cm, and all of them underwent abdominoperineal resection...
January 20, 2024: Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi
https://read.qxmd.com/read/37727339/catastrophic-rhabdomyolysis-following-breast-reconstruction-operation-using-an-abdominal-flap-a-case-report
#3
Myeong Jae Kang, Hyun Geun Cho, Jeong-Hoon Lim, Sung-Hye Byun, Su-Hyun Lee, Byeongju Kang, Jeeyeon Lee, Ho Yong Park, Jeong Yeop Ryu, Kang Young Choi, Jung Dug Yang, Ho Yun Chung, Byung Chae Cho, Joon Seok Lee
BACKGROUND: Rhabdomyolysis is a potentially fatal clinical syndrome resulting from the damage or breakdown of skeletal muscle, which can also lead to permanent disabilities. Based on our review of studies on rhabdomyolysis after prolonged surgeries, no other cases of rhabdomyolysis caused by muscle injury in the buttock area following breast reconstruction have been reported, making the current report the first to share information related to patient conditions and treatment progress in such cases...
July 31, 2023: Gland Surgery
https://read.qxmd.com/read/37528911/parasitization-of-the-pedicle-a-rare-form-of-tram-flap-recurrence
#4
Matthew J Binks, CiCi Guo, Danusha Sabanathan, Sivapirabu Sathasivam, Senarath Edirimanne
Local recurrence after mastectomy and autologous breast reconstruction is uncommon and tends to occur predictably within the superficial tissues or at the chest wall. We present a unique case of breast cancer recurrence involving the superficial and deep tissues. By parasitizing the pedicle of a free transverse rectus abdominis myocutaneous flap pedicle, the tumour was seen to extend through the chest wall to the right pleura.
July 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/37480357/abdominal-wall-reconstruction-performing-posterior-component-separation-without-transversus-abdominis-release-for-a-complex-incisional-hernia-m2w1-l3w2-left-after-tram-flap-breast-reconstruction-with-video
#5
JOURNAL ARTICLE
Diana Teodora Cucu, Victor G Radu
video width="640" height="480" controls controlsList="nodownload" poster="https://www.revistachirurgia.ro/pdfs/video/Diana_Teodora_Cucu-Abdominal_Wall_Reconstruction.jpg" style="margin-top: -20px;" source src="https://www.revistachirurgia.ro/pdfs/video/Diana_Teodora_Cucu-Abdominal_Wall_Reconstruction.mp4" type="video/mp4" Your browser does not support the video tag. /video Breast reconstruction with a pedicled transverse rectus abdominis muscle (TRAM) flap can result in significant abdominal wall donor-site morbidity...
June 2023: Chirurgia
https://read.qxmd.com/read/37399658/efficacy-of-superficial-inferior-epigastric-vein-superdrainage-in-free-tram-and-diep-flap-an-indocyanine-green-angiography-study-of-68-cases
#6
JOURNAL ARTICLE
Ying Zhu, Hyokyung Yoo, Sally Min, Hak Chang
BACKGROUND: This study aimed to evaluate the clinical efficacy of venous augmentation using superficial inferior epigastric vein (SIEV) in free transverse rectus abdominis musculocutaneous (TRAM) and deep inferior epigastric artery perforator (DIEP) flap and investigate the factors that hinder the venous superdrainage. METHODS: A retrospective review of 62 free muscle-sparing (MS)-TRAM and 6 DIEP unilateral breast reconstructions from September 2017 to July 2022...
June 8, 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/37397068/a-case-of-cutaneous-psoriasis-vulgaris-achieving-complete-remission-post-major-breast-reconstructive-surgery
#7
Erica Hian Kim Ngiam, Denise Fok, Nadia Sim, Allen Wong, Jiajun Feng, Tan Pearlie, Hui Wen Chua, Grace Chan, Yee Onn Kok
Psoriasis is a debilitating chronic inflammatory systemic condition largely affecting the skin. Major surgery is relatively contraindicated due to the propensity for triggering psoriatic flares and koebnerization of the surgical scars. We detail an interesting case of complete psoriasis remission following a right nipple-sparing mastectomy with sentinel lymph node biopsy with vascular augmented pedicled transverse rectus abdominal myocutaneous (TRAM) flap in a patient with systemic psoriasis vulgaris and arthropathy...
June 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/37323334/intraoperative-ultrasound-guided-transversus-abdominis-plane-catheters-placed-for-post-operative-analgesia-following-pedicled-transverse-rectus-abdominis-myocutaneous-flap-breast-reconstruction-a-case-report
#8
Richard M Missett, Sanaz Beig Zali, Jonathan Winograd, Pascal Scemama de Gialluly, A Sassan Sabouri
Transverse rectus abdominis (TRAM) flap reconstruction of the breast is a procedure in which a flap of skin, fat, and underlying rectus abdominis muscle is used to reconstruct the breast. This procedure is commonly performed after mastectomy and results in significant pain at the donor abdominal site. We present this case of a 50-year-old female undergoing pedicled TRAM flap surgery in which ultrasound-guided transversus abdominis plane (TAP) catheters were placed intraoperatively, in a novel fashion: under ultrasound guidance, directly on the abdominal musculature, without overlying fat, subcutaneous tissue, or dressing...
May 2023: Curēus
https://read.qxmd.com/read/37224344/a-safe-and-efficient-technique-for-pedicled-tram-flap-breast-reconstruction
#9
JOURNAL ARTICLE
John L Semple, Alex Viezel-Mathieu, Sultan Alshaqsi, Kathleen Armstrong
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Understand the indications for a unilateral pedicled transverse rectus abdominis (TRAM) flap-based breast reconstruction. 2. Understand the different types and designs of pedicled TRAM flap used in both immediate and delayed breast reconstruction. 3. Understand the essential landmarks and relevant anatomy of the pedicled TRAM flap. 4. Understand the steps of raising the pedicled TRAM flap, the subcutaneous transfer, and the insetting of the flap on the chest wall...
June 1, 2023: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/37057040/preoperative-planning-of-unilateral-breast-reconstruction-with-pedicled-transverse-rectus-abdominis-myocutaneous-tram-flaps-a-pilot-study-of-perforator-mapping
#10
JOURNAL ARTICLE
Alisha Fong, Hye-Sung Park, David A Ross, Warren M Rozen
BACKGROUND: Pedicled transverse rectus abdominis myocutaneous (TRAM) flaps are well-established autologous reconstructive options for breast reconstruction. Preoperative computed tomographic angiography (CTA) has since become part of the routine workup in breast reconstruction with deep inferior epigastric artery perforator (DIEP) flaps. CTA provides an improved understanding of perforator anatomy which can facilitate optimal choice of hemiabdominal wall, and guide sheath harvest. Despite this knowledge, the role of preoperative CTA for breast reconstruction with the pedicled TRAM flap has not yet been established...
March 31, 2023: Gland Surgery
https://read.qxmd.com/read/37051645/a-preliminary-experience-of-endoscopic-total-mastectomy-with-immediate-free-abdominal-based-perforator-flap-reconstruction-using-minimal-incisions-and-literature-review
#11
JOURNAL ARTICLE
Sabrina Ngaserin, Allen Wei-Jiat Wong, Faith Qi-Hui Leong, Jia-Jun Feng, Yee Onn Kok, Benita Kiat-Tee Tan
PURPOSE: Endoscopic total mastectomy (ETM) is predominantly performed with reconstruction using prostheses, lipofilling, omental flaps, latissimus dorsi flaps, or a combination of these techniques. Common approaches include minimal incisions, e.g., periareolar, inframammary, axillary, or mid-axillary line, which limit the technical ability to perform autologous flap insets and microvascular anastomoses, as such the ETM with free abdominal-based perforator flap reconstruction has not been robustly explored...
March 13, 2023: Journal of Breast Cancer
https://read.qxmd.com/read/36687247/whole-breast-reconstruction-in-developing-india-a-cancer-surgeon-s-experience-with-the-pedicled-transverse-rectus-abdominis-tram-flap
#12
JOURNAL ARTICLE
Esha Pai, Tarun Kumar
Challenges in the Indian surgical oncology practice are varied - too many patients per surgeon, long operative waitlists, lacking infrastructure, and often a dearth of plastic surgeons. Immediate whole breast reconstruction is rarely offered after mastectomy. Given the unavailability of a dedicated plastic surgery team, we initiated pedicled transverse rectus abdominis myocutaneous (TRAM) flaps in our practice to give patients a more holistic treatment. We present the first 33 cases done solely by a surgical oncologist...
December 2022: Indian Journal of Surgical Oncology
https://read.qxmd.com/read/36431123/the-partial-removal-of-rectus-abdominis-muscle-inserting-into-ribs-in-ipsilateral-pedicled-tram-flap-for-breast-reconstruction
#13
JOURNAL ARTICLE
Daegu Son, Jaehoon Kim
BACKGROUND: The purpose of this study was to introduce a new surgical technique for pedicled TRAM flap that removes a part of the rectus abdominis muscle inserting into ribs, and to analyze this technique in comparison with classical pedicled TRAM flap. METHODS: A retrospective review of patient charts from May 2006 to February 2016 was performed. The patient group that underwent the removal of the part of the rectus abdominis that inserts into the thorax (partial muscle resection; PMR group) was compared with the group that did not undergo this muscle resection (Classical group)...
November 9, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/36425887/reconstruction-of-chronic-radiation-induced-ulcers-in-the-chest-wall-using-free-and-pedicle-flaps
#14
JOURNAL ARTICLE
Bo Zhou, Ying Long, Sha Li, Chunliu Lv, Dajiang Song, Yuanyuan Tang, Liang Yi, Zhenhua Luo, Gaoming Xiao, Zan Li, Xiao Zhou
BACKGROUND AND PURPOSE: Resection of radiation-induced ulcers often causes full-thickness defects of the chest wall. We retrospectively reviewed and evaluated 17 patients to explore a method of chest wall reconstruction. MATERIALS AND METHODS: A total of 17 breast cancer patients with radiation-induced ulcers were included. Various type of prostheses and flaps were used, results of clinic were evaluated. RESULTS: Sixteen patients had full-thickness defects and one patient had only a soft tissue defect and underwent reconstruction with a pedicle latissimus dorsi (LD) myocutaneous flap...
2022: Frontiers in Surgery
https://read.qxmd.com/read/36262686/large-mammary-paget-disease-without-underlying-breast-carcinoma
#15
Prakasit Chirappapha, Lakkana Adireklarpwong, Pattana Sornmayura, Panuwat Lertsithichai, Chayanoot Rattadilok
Mammary Paget disease is an uncommon type of breast cancer. Redness, scaling, and thickness involving the nipple and areola are common clinical symptoms. Invasive breast cancer was found in nearly 90% of these patients. Only a few cases of mammary Paget disease with no underlying cancer have been described, with a better prognosis. Treatment options include wide excision or mastectomy. However, if the lesion is very extensive, breast reconstruction may be required. We reported a rare case of extensive Paget disease in a 65-year-old woman who had a 7-year history of a 14 × 19 cm progressively enlarging erythematous scaling lesion that covered her entire left breast...
October 2022: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/36099031/successful-treatment-of-recurrent-thoracic-aortic-prosthetic-graft-infection-after-omentopexy-by-free-latissimus-dorsi-and-rectus-abdominis-muscle-flap
#16
JOURNAL ARTICLE
Shuhei Miura, Ryuji Shichinohe, Yutaka Iba
A 50-year-old patient, who underwent total aortic arch replacement for acute type A aortic dissection, developed recurrent thoracic prosthetic graft infection after omentopexy for the treatment of initial postoperative graft infection of ascending aorta and transverse aortic arch. We report a successful treatment of the disastrous complication by covering the prosthetic graft with free latissimus dorsi muscle flap coupled with pedicled rectus abdominis myocutaneous flap for the reduction of mediastinal dead space, following the surgical disinfection with partial graft reconstruction...
September 13, 2022: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/35832166/the-impact-of-abdominal-liposuction-on-abdominally-based-autologous-breast-reconstruction-a-systematic-review
#17
JOURNAL ARTICLE
Evalina S Bond, Carol E Soteropulos, Samuel O Poore
Prior abdominal liposuction can be viewed as a relative or absolute contraindication to abdominally based autologous breast reconstruction given concerns for damaged perforators and scarring complicating intraoperative dissection. This systematic review aims to explore the outcomes of abdominally based breast reconstruction in patients with a history of abdominal liposuction. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guided literature search was conducted using PubMed, Scopus, and Web of Science from the earliest available date through June 2020...
May 2022: Archives of Plastic Surgery
https://read.qxmd.com/read/35615704/anomalous-vascular-perforator-of-the-internal-thoracic-artery-supplying-a-pedicled-transverse-rectus-abdominis-myocutaneous-flap-a-case-report
#18
Carlos Neblett, Leighton Logan, Kenneth Appiah, Kadeem Knight
The pedicled transverse rectus abdominis myocutaneous (TRAM) flap is an infrequently performed procedure relative to the more current microsurgical free tissue transfers in most centres around the world. However, in resource-limited centres where procedures requiring microsurgical intervention are rarely employed, the pedicled TRAM whose vascular axis is that of the superior epigastric artery, is an invaluable tool in the plastic surgeon's armamentarium both for breast reconstruction and chest wall soft tissue resurfacing...
May 2022: Journal of Surgical Case Reports
https://read.qxmd.com/read/35355320/comparison-of-nine-methods-of-immediate-breast-reconstruction-after-resection-of-localized-breast-cancer-a-cost-effectiveness-markov-decision-analysis-of-prospective-studies
#19
JOURNAL ARTICLE
Kevin M Klifto, Michael G Tecce, Joseph M Serletti, Stephen J Kovach
BACKGROUND: Women undergoing immediate breast reconstruction without radiation therapy have reconstruction methods available with uncertain long-term costs associated with complications requiring surgery and revisions. We evaluated cost-effectiveness of nine methods of immediate breast reconstruction for women with localized breast cancer. METHODS: Markov modeling was performed over 10-years for unilateral/bilateral breast reconstructions from healthcare/societal perspectives...
July 2022: Microsurgery
https://read.qxmd.com/read/34903492/limiting-the-fascia-incision-length-in-a-diep-flap-repercussion-on-abdominal-wall-morbidity
#20
JOURNAL ARTICLE
Paulien H Hilven, Marc Vandevoort, Frans Bruyninckx, Randy De Baerdemaeker, Yamina Dupont, Quinten Peeters, Lloyd Nanhekhan, Gerd Fabre
BACKGROUND: The evolution from free muscle-sparing transverse rectus abdominis myocutaneous flap to deep inferior epigastric perforator (DIEP) flap leads to less donor-site morbidity. However, rectus fascia is usually incised longitudinally from perforator(s) to iliac vessels, often exceeding 15 cm when including longitudinal muscle spreading. By using a limited fascia incisional (LFI-) technique, we try to diminish abdominal wall functional decrease. METHODS: Twenty-seven patients who underwent unilateral breast reconstructions using free DIEP-flap with limited fascia incision between December 2014 and October 2017 were included in the study...
March 2022: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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