Occult malignancy rate associated with thoracodorsal vessel dissection for free flap breast reconstruction

Loiselle, Frederick B.; Schrag, Christiaan; Magi, Enzio; Harrop, A. Robert; Temple, Walley J.; Haas, Vim de; Lindsay, Robert

doi:10.1002/jso.21047

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Traditionally, TDVs have been used as recipient vessels when they are partially exposed after axillary lymph node dissection during mastectomy, as they have consistent anatomy [1,2]. Furthermore, the dissection of TDVs affords a small but significant opportunity to detect occult regional me-Choice of recipient vessels in muscle-sparing transverse rectus abdominis myocutaneous flap breast reconstruction: A comparative study tastasis [3]. In addition, TDVs do not increase the risk of lymphedema [1] compared to other recipient vessels, and they are not adversely affected by prior radiotherapy [2].…”

Section: Introductionmentioning

confidence: 99%

Choice of recipient vessels in muscle-sparing transverse rectus abdominis myocutaneous flap breast reconstruction: A comparative study

et al. 2019

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Background Thoracodorsal vessels (TDVs) and internal mammary vessels (IMVs) have both been widely employed as recipient vessels for use in free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flaps. However, whether TDVs or IMVs are preferable as recipient vessels for autologous breast reconstruction with a free MS-TRAM flap remains controversial. The purpose of this study was to compare the clinical outcomes when TDVs were used as recipient vessels to those obtained when IMVs were used as recipient vessels for autologous breast reconstruction with a free MS-TRAM flap. Methods A retrospective matched-cohort study was performed. We retrospectively reviewed data collected from patients who underwent a free MS-TRAM flap for autologous breast reconstructions after mastectomy between March 2003 and June 2013. After a one-to-one matching using age, 100 autologous breast reconstructions were selected in this study. Of the 100 breast reconstructions, 50 flaps were anastomosed to TDVs and 50 to IMVs. Patient demographics and clinical outcomes including operation time, length of hospital stay, postoperative complications, and aesthetic score were compared between the two groups. Results No statistically significant differences were found between the two groups in patient demographics and clinical outcomes, including the complication rates and aesthetic scores. There were no major complications such as total or partial flap loss in either group. Conclusions The results of our study demonstrate that both TDVs and IMVs were safe and efficient as recipient vessels in terms of the complication rates and aesthetic outcomes.

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Section: Introductionmentioning

confidence: 99%

Choice of recipient vessels in muscle-sparing transverse rectus abdominis myocutaneous flap breast reconstruction: A comparative study

et al. 2019

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A Plea for Recipient Vascular Pedicle Versatility in Microvascular Breast Reconstruction

Pradas-Irun

Azzawi

Malata

2012

Plastic and Reconstructive Surgery

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The Thoracodorsal Artery and Vein as Recipient Vessels for Microsurgical Breast Reconstruction

Banwell

Trotter

Ramakrishnan

2012

Annals of Plastic Surgery

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Occult malignancy rate associated with thoracodorsal vessel dissection for free flap breast reconstruction

Abstract: This study serves to alert reconstructive surgeons to the potential for finding occult tumour during free flap breast reconstruction.

Cited by 3 publications

References 15 publications

Choice of recipient vessels in muscle-sparing transverse rectus abdominis myocutaneous flap breast reconstruction: A comparative study

Choice of recipient vessels in muscle-sparing transverse rectus abdominis myocutaneous flap breast reconstruction: A comparative study

A Plea for Recipient Vascular Pedicle Versatility in Microvascular Breast Reconstruction

The Thoracodorsal Artery and Vein as Recipient Vessels for Microsurgical Breast Reconstruction

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