J Korean Soc Plast Reconstr Surg.
2006 Sep;33(5):570-576.
Immediate Breast Reconstruction with TRAM Flap after Nipple-Areolar Sparing Mastectomy
- Affiliations
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- 1Departments of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. tjlee@amc.seoul.kr
- 2Departments of Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
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.
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