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Breast reconstruction
2012-08-21
Wounds prevention after breast reconstruction
 
Tautvydas Urbonas
Tautrimas Aštrauskas
Kęstutis Urbonas
Kaunas Medical University Clinics
 
Aim: To introduce and evaluate a new technique in pedicle TRAM flap reconstruction using a Laser Doppler (LD) to achieve the maximal volume preservation of tissues and to keep the minimal risk of partial flap necrosis.
 
Materials and Methods: During the year 2009 – 2010 there were 12 pedicle TRAM flap breast reconstructions performed in the Department of Plastic and Reconstructive surgery in Kaunas Medical University Clinics. All patients had a risk for complications of the first or the second degree according to Hartrampf’s classification. 7 patients had undergone breast reconstruction based on the common technique (control group) and the rest 5 had undergone breast reconstruction using the LD (LD group). Complications in the early postoperative period were evaluated in both groups. The volumes of the transplanted tissues and the tissues that could be transplanted without LD were compared in the LD group. The operating times in both groups were calculated and compared.
 
Results: There were no complications in the LD group in the early postoperative period while there was one marginal necrosis in the control group (14,2%); p>0,05. In all 5 cases in the LD group the volume of the transplanted tissues was greater than the volume that could be transplanted without LD. The operation took 187 minutes on average in the LD group and 165 minutes on average in the control group; the difference was not statistically significant.
 
Conclusion: LD provides a possibility to preserve a bigger volume of tissues with no increased risk of complications.


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