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Determining the Trimming Layer in Breast Reconstruction with a Free TRAM Flap Using Intraoperative Video-angiography

 Sang Keon Lee  ;  Dong Won Lee  ;  Dae Hyun Lew  ;  Seung Yong Song 
 Plastic and reconstructive surgery. Global open, Vol.5(3) : e1266, 2017 
Journal Title
 Plastic and reconstructive surgery. Global open 
Issue Date
In breast reconstruction using a free transverse rectus abdominis myocutaneous or deep inferior epigastric perforator flap, the trimming process for the flap area, which is usually the upper portion of the reconstructed breast, is critical to creating a natural-looking breast. In this study, we investigated which subcutaneous fat layer of the abdominal flap benefited most from a well-maintained blood supply during the trimming process using intraoperative fluorescent angiography system in a cross-sectional view of the elevated abdominal flap. We concluded that, for cosmetic purposes, the deep subcutaneous fat layer (beneath Scarpa's fascia) should be trimmed first to minimize fat necrosis due to fat ischemia.
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1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Song, Seung Yong(송승용) ORCID logo https://orcid.org/0000-0002-3145-7463
Lew, Dae Hyun(유대현)
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
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