Concomitant or Delayed Intra-abdominal Operation in Immediate Breast Reconstruction with TRAM Flap.
- Author:
Kyu Nam KIM
1
;
Taik Jong LEE
Author Information
1. Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. psbear@empas.com
- Publication Type:Original Article
- Keywords:
Concomitant intra-abdominal operation;
Delayed intra-abdominal operation;
TRAM flap operation
- MeSH:
Abdomen;
Breast;
Female;
Follow-Up Studies;
Humans;
Mammaplasty;
Necrosis;
Skin
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2010;37(1):22-25
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: As patients who take immediate breast reconstructions with TRAM flap have increased, concomitant or delayed other elective intra-abdominal operations in these patients also have increased. There are few reports of concomitant or delayed intra-abdominal operation in TRAM flap patients. We report our experiences and outcomes of these operations which is safe and feasible. METHODS: We reviewed the charts and postoperative follow-up results of 11 patients among 471 consecutive patients who took immediate breast reconstruction with TRAM flap from December of 2002 to September of 2006. Four patients took concomitant intra-abdominal operation and 7 patients took delayed intra-abdominal operation between 1 to 52 months after TRAM flap RESULTS: There were no significant postoperative abdominal and systemic complications. One patient who took concomitant intra-abdominal operation presented partial skin necrosis of abdomen, but recovered completely with conservative treatments. Two patients took transfusion in peri-operative periods. CONCLUSION: Concomitant or delayed intra-abdominal operation in immediate breast reconstruction with TRAM flap could be performed safely and feasibly when it is necessary. Furthermore, it could be helpful to patients and surgeons.
