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KMID : 0358820100370010022
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2010 Volume.37 No. 1 p.22 ~ p.25
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Concomitant or Delayed Intra-abdominal Operation in Immediate Breast Reconstruction with TRAM Flap
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Kim Kyu-Nam
Lee Taik-Jong
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Abstract
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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.
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KEYWORD
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Concomitant intra-abdominal operation, Delayed intra-abdominal operation, TRAM flap operation
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