Breast reconstruction with the pedicled tram flap is a reliable procedure in the early breast cancer patients

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Abstract

Objectives: Finding the clinical factors was affected by the outcomes of breast reconstruction with TRAM flap in the early breast cancer patients.

Methods: The pedicled TRAM flap breast reconstruction were performed in 41 patients after nipple sparing mastectomy as well as modified radical mastectomy from 2017-2019 at Hue Central Hospital.

Results: Immediate breast reconstruction was 14/41 cases, the ipsilateral pedicled TRAM flap was using in 11/41 cases. There is 95.1 % patient with BMI< 25, more than 50% having the abdominal scars, 61% patient with operating time is 180 - 210 minutes, 85,4% spending in post opearting periode during 10- 15 days. The rate of complication was 14,6%, no finding the severe complications of reconstruction in the total flap necrosis and hernia or bulge in this study.

Conclusion: The pedicled TRAM flap was a safe and reliable procedure for choosing in breast reconstruction in Vietnam.

 

https://doi.org/10.38103/jcmhch.2020.66.1

References

Nguyễn Đình Tùng và CS: Ứng dụng vạt TRAM cải tiến trong tái tạo vú, Tạp chí Y học TP. HCM, số 13, tập 6, trang 325-331, 2009.

Nguyễn Đình Tùng: Phẫu thuật tái tạo vú bằng vạt tự thân, Tạp chí Y học Việt Nam, số 389, tập1, trang 14-18, 2011.

Y. S. Chun, I. Sinha, A. Turko, S. Lipsitz, and J. J. Pribaz: Outcomes and patient satisfaction fol- lowing breast reconstruction with bilateral ped- icled TRAM flaps in 105 consecutive patients, Plast. Reconstr. Surg., vol. 125, no. 1, pp. 1-9, 2010, doi: 10.1097/PRS.0b013e3181c2a620

Golpanial: Free Versus Pedicled TRAM Flaps: Cost Utilization and Complications, Aesthetic Plast Surg,2016 Dec;40(6):869-876.

Woonhyeok Jeong: Meta-analysis of flap perfusion and donor site complications for breast reconstruction using pedicled versus free TRAM and DIEP flap, 2018, Volume 38, Pages 45-51.

Published 21-12-2020
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Issue No. 66 (2020)
Section Original article
DOI 10.38103/jcmhch.2020.66.1
Keywords

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Nguyen Dinh, Anh, V. H. T., Hong, L. K., Huy, T. N., Huy, T. N., Phuc, N. V., & Tuu, N. (2020). Breast reconstruction with the pedicled tram flap is a reliable procedure in the early breast cancer patients. Journal of Clinical Medicine Hue Central Hospital, (66), 3–9. https://doi.org/10.38103/jcmhch.2020.66.1