Comparison of the deep inferior epigastric perforator and pedicled transverse rectus abdominis myocutaneous flap
10.3760/cma.j.issn.1008-6315.2015.10.009
- VernacularTitle:腹壁下动脉穿支皮瓣和带蒂横行腹直肌皮瓣在乳房重建中的对比研究
- Author:
Liang LI
;
Juntao LIU
;
Haifeng CAI
;
Wenlong ZHANG
;
Pengju SHI
;
Hongming ZHENG
- Publication Type:Journal Article
- Keywords:
Breast reconstruction;
Deep inferior epigastric perforator;
Transverse rectus abdominis myocutaneous;
Complication
- From:
Clinical Medicine of China
2015;31(10):895-898
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the complication and cost-effectiveness of the deep inferior epigastric perforator(DIEP) flap and transverse rectus abdominis myocutaneous(TRAM) flap.Methods From January 2000 to December 2014,all patients who underwent DIEP flap and TRAM flap in the People's Hospital of Tangshan and the Affiliated Hospital of North China University of Science and Technology, were selected.Eleven patients underwent immediate breast reconstruction with TRAM flaps and 19 patients with DIEP flaps.The treatment cost,length of hospitalization, and complication in the two year after surgery for each group were compared.Results For the major complications,there were 5 cases appeared fat necrosis in TRAM group, and 1 case in DIEP group,the differences was statistically significant(P=0.016).One case appeared flap loss in TRAM group,and DIEP group was zero,both of the two group had no abdominal wall hernia, there was no significant difference (P ＞ 0.05).For the minor complications, there were 4 cases appeared postoperative hematoma in TRAM group, and 1 case in DIEP group, the difference was statistically significant(P =0.047).Two cases appeared wound dehiscence in TRAM group,and DIEP group was 1 case, 1 case happened infection in TRAM group,there was no statistically significant difference(P＞0.05).The treatment costs were (14 133.12±1 546.88)yuan for the TRAM group and (16 838.94± 3 006.05)yuan the DIEP group, the difference was statistically significant (P =0.010).The hospital stay was (17.28± 2.08)days for the pedicled TRAM group and (18.39±2.87) days for the DIEP group,the different was not statistically significant(P＞0.05).Conclusion The DIEP flap has a better clinical outcomes,but more expensive.
