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The Abdominal Fascial Closure in a Double-Breasted Jacket Pattern Following a TRAM Free Flap Breast Reconstruction

Authors
 Young Seok Kim  ;  Han-Su Yoo  ;  Jong Won Hong  ;  Dae hyun Lew  ;  Tai Suk Roh 
Citation
 JOURNAL OF RECONSTRUCTIVE MICROSURGERY, Vol.30(2) : 97-102, 2014 
Journal Title
 JOURNAL OF RECONSTRUCTIVE MICROSURGERY 
ISSN
 0743-684X 
Issue Date
2014
MeSH
Abdominal Wound Closure Techniques* ; Adult ; Fascia/transplantation* ; Female ; Free Tissue Flaps/blood supply* ; Humans ; Mammaplasty/methods* ; Middle Aged ; Postoperative Complications ; Reconstructive Surgical Procedures* ; Rectus Abdominis/transplantation* ; Retrospective Studies ; Tissue and Organ Harvesting/methods ; Treatment Outcome
Keywords
TRAM ; abdominal fascial closure ; abdominal bulging
Abstract
The primary closure of abdominal fascia after breast reconstruction with transverse rectus abdominis myocutaneous (TRAM) flap has been reported to be the most effective way to reduce these complications. A total of 108 patients who underwent immediate unilateral breast reconstruction with muscle-sparing TRAM flap were included in the study. We compared complications between 56 patients who underwent conventional primary fascial closure (group 1) and 52 who underwent fascial closure in a new double-breasted jacket pattern (group 2), retrospectively. Abdominal bulging occurred in four patients (7.1%) in group 1 and one patient (1.9%) in group 2 (p = 0.01). An abdominal wound dehiscence occurred in three (5.4%) patient in group 1 and two (3.8%) patient in group 2 (p = 0.12). After conventional or muscle-sparing TRAM free flap reconstruction, closing the abdominal fascia in a double-breasted jacket pattern can help reinforce the lower abdominal fascia and prevent abdominal bulging caused by abdominal fascia tensional imbalance.
Full Text
https://www.thieme-connect.com/DOI/DOI?10.1055/s-0033-1357278
DOI
10.1055/s-0033-1357278
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Seok(김영석) ORCID logo https://orcid.org/0000-0002-0981-2107
Roh, Tai Suk(노태석) ORCID logo https://orcid.org/0000-0001-8681-159X
Lew, Dae Hyun(유대현)
Yoo, Han Su(유한수)
Hong, Jong Won(홍종원) ORCID logo https://orcid.org/0000-0002-7762-0940
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98477
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