Late Results of Breast Reconstruction with Free TRAM Flaps: A Prospective Multicentric Study

Banič, Andrej; Boeckx, W.; Greulich, M.; Guelickx, P.; Marchi, Alessandra; Rigotti, Gino; Tschopp, H

doi:10.1097/00006534-199506000-00008

Cited by 75 publications

(34 citation statements)

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“…High incidences of abdominal wall complications after free TRAM flaps were noted by Blondeel et al 22 (20% abdominal wall asymmetry, 10% bulging, and 5% hernias) and by Banic et al 23 (20% abdominal weakness). The high incidence of abdominal wall complications reported by Blondeel et al 22 and Banic et al 23 was probably due to the fact that most of the fascial repairs were not reinforced with mesh.…”

Section: Facial Contour Restorationmentioning

confidence: 90%

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Facial contour restoration in Barraquer‐Simons syndrome using two free tram flaps: Presentation of two case reports and long‐term follow‐up

Goossens

Coessens

2002

Microsurgery

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Barraquer-Simons syndrome, a disorder of unknown etiology, is characterized by a cephalothoracic lipodystrophy. We present 2 patients treated with a bilateral free transverse rectus abdominis myocutaneous (TRAM) flap to restore facial contour. Our technique of using a muscle component to fill the cheek defect was based on our experience with free muscle transfer in facial reanimation. In comparison with adipose tissue, muscle tissue does not show a tendency for ptosis because of its consistency and firm attachment of the muscle surface to the surrounding tissues. These cases demonstrate the possibility for the use of simultaneous dissection of the face and flaps, and the reliability of the vascular pedicle. The stability of the abdominal wall was secured by closure of the rectus sheath over Teflon mesh, which has been proven to prevent hernia. Our long-term follow-up demonstrates a stable symmetrical facial appearance.

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Section: Facial Contour Restorationmentioning

confidence: 90%

“…The high incidence of abdominal wall complications reported by Blondeel et al 22 and Banic et al 23 was probably due to the fact that most of the fascial repairs were not reinforced with mesh.…”

Section: Facial Contour Restorationmentioning

confidence: 95%

Facial contour restoration in Barraquer‐Simons syndrome using two free tram flaps: Presentation of two case reports and long‐term follow‐up

Goossens

Coessens

2002

Microsurgery

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“…A number of studies have performed comparative analyses of the operative times, complications, and costs of free and pedicle TRAM flap breast reconstructions (66)(67)(68). However, very little information is available regarding the psychosocial outcomes of these two procedures, especially comparing postoperative to preoperative scores.…”

Section: Fact-bmentioning

confidence: 99%

Michigan Breast Reconstruction Outcome Study (MBROS)

Wilkins¹

2000

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“…Howeer, prolonged tissue ischemia in setting of trauma or prolonged procedures can lead to tissue necrosis and eventual demise of the skin flap [1,2]. Despite remarkable progress in plastic surgery over the previous two decades, partial flap necrosis has been reported in 7-20% of free flaps and 20-33% of pedicled flaps [3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Effect of Systemic Antioxidant Allopurinol Therapy on Skin Flap Survival.

Ardakani

Al‐Dam

Rashad

et al. 2017

Adv Plast Reconstr Surg

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Background: This study was undertaken to evaluate whether steady state concentrations of allopurinol can improve ischemia in canine skin flaps.Methods: Twenty dogs underwent one skin flap surgery with a 2-week interval. The first procedure was performed according to the standard protocols. The second phase was started by a 1-week pretreatment with allopurinol. Length of the necrotic zone was measured and recorded daily. At each phase, flaps were removed and sent for histopathological study after 1week observation.Results: Mean length of the necrotic zone in allopurinol treated skin flaps has been significantly less than normal flaps over all 7 days of observation (p-value<0.0001). Histopathology study showed less inflammation and more normal tissue structure in the allopurinol treated skin flaps. Conclusions:Findings obtained from our study demonstrate that systemic administration of allopurinol significantly improves skin flap survival and may have significant clinical implications.

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Late Results of Breast Reconstruction with Free TRAM Flaps: A Prospective Multicentric Study

Cited by 75 publications

References 0 publications

Facial contour restoration in Barraquer‐Simons syndrome using two free tram flaps: Presentation of two case reports and long‐term follow‐up

Facial contour restoration in Barraquer‐Simons syndrome using two free tram flaps: Presentation of two case reports and long‐term follow‐up

Michigan Breast Reconstruction Outcome Study (MBROS)

Effect of Systemic Antioxidant Allopurinol Therapy on Skin Flap Survival.

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