Observation on the therapeutic effects of breast reconstruction using deep inferior epigastric perforator flap after resection of breast cancer
10.3969/j.issn.1009-0754.2015.06.021
- VernacularTitle:乳腺癌切除术后腹壁下动脉穿支皮瓣乳房重建疗效观察
- Author:
Ke DING
1
;
Anrong MAO
;
Tingyu HU
;
He HUANG
Author Information
1. 解放军第八五医院普外科
- Keywords:
Breast neoplasms;
Breast reconstruction;
Deep inferior epigastric perforator flap
- From:
Journal of Navy Medicine
2015;(6):534-537
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the early outcomes of breast reconstruction with immediate deep inferior epigastric perfora -tor ( DIEP) flaps after resection of breast cancer with DIEP reconstruction after modified radical mastectomy with papilla and mammary areola reserving .Methods A retrospective analysis of 14 breast cancer patients who were hospitalized and received breast reconstruc -tion from January 2011 to January 2015 was made, so as to investigate the features of the surgery and its clinical indications .Then, e-valuations were performed on the cosmetic effects and postsurgical complications .A 1-24-month medical follow-up was made after sur-gery.Results Breast reconstruction surgery was successful in all the 16 patients, all the flaps completely survived postoperatively , with 2 cases of distal skin flap necrosis and 1 case of hematoma in the surgical site .No complications such as abdominal hernia or bulge in donor sites were found and the reconstructed breast was well-shaped.Conclusion The immediate DIEP reconstruction is safe and relia-ble, at the same time, it has the advantages of hidden incision , rich blood supply of the affected area , abundant tissue volume, minimal donor site damage , less complications , which met the requirements of oncotherapy and aesthetics as well .