Main factors determining the use of free MS-TRAM and DIEP flaps and comparing the results of breast reconstruction.
| Autor: | Smolanka II; National Cancer Institute, Ministry of Health, Kyiv, Ukraine., Galych SP; National Institute of Surgery and Transplantology, Kyiv, Ukraine., Movchan OV; National Cancer Institute, Ministry of Health, Kyiv, Ukraine., Bagmut IY; Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine., Sheremet MI; Department of Surgery No.1, Bukovinian State Medical University, Chernivtsi, Ukraine., Kolisnyk IL; Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine., Bagmut OV; Faculty of Computer Sciences, Karazin Kharkiv National University, Kharkiv, Ukraine., Lyashenko AO; National Cancer Institute, Ministry of Health, Kyiv, Ukraine., Dosenko IV; National Cancer Institute, Ministry of Health, Kyiv, Ukraine., Ivankova OM; National Cancer Institute, Ministry of Health, Kyiv, Ukraine., Maksymyuk VV; Department of Surgery No.1, Bukovinian State Medical University, Chernivtsi, Ukraine., Tarabanchuk VV; Department of Surgery No.1, Bukovinian State Medical University, Chernivtsi, Ukraine. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of medicine and life [J Med Life] 2023 Jan; Vol. 16 (1), pp. 121-128. |
| DOI: | 10.25122/jml-2022-0227 |
| Abstrakt: | This study aimed to compare the results of free MS-TRAM and DIEP-flap based on the volume of the transplant and the unique characteristics of blood flow in the tissues. The study included 83 patients, 42 in the MS-TRAM-flap reconstruction group and 41 in the DIEP-flap breast reconstruction group. In the MS-TRAM-flap group, 35 patients received delayed reconstruction, and 7 received one-stage breast reconstruction, including one case of bilateral transplantation. In the DIEP-flap group, 5 patients received one-stage reconstruction, and 36 received delayed reconstruction. Complications associated with the flap tissue were observed in 7 (16.67%) in the MS-TRAM-flap group and 8 (19.51%) cases in the DIEP-flap group. The total level of fat necrosis in MS-TRAM-flap was 7.14% (p=0.033), and in DIEP-flap, it was 9.75% (p=0.039) (2 patients had a substantial amount of fat necrosis, while 2 patients had a modest amount of focal fat necrosis). The number and diameter of perforators (including veins), as well as the transplant volume, are the primary determinants of whether to use a DIEP- or MS-TRAM-flap. DIEP-flap is preferred if there are 1-2 large artery perforators (≥1 mm) and tissue volume of 700-800 grams, while MS-TRAM-flap is used when the tissue volume is significant (>2/3 of standard TRAM-flap). Competing Interests: The authors declare no conflict of interest. (©2022 JOURNAL of MEDICINE and LIFE.) |
| Databáze: | MEDLINE |
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