Archives of Plastic Surgery

  • 제32권1호
  • /
  • Pages.71-75
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  • 2005
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
권호 표지

Sensory Restoration of Abdomen after Free TRAM Flap for Breast Reconstruction

  • 성건용 (한양대학교 의과대학 성형외과학교실) ;
  • 안희창 (한양대학교 의과대학 성형외과학교실) ;
  • 황원중 (한양대학교 의과대학 성형외과학교실) ;
  • 조동인 (한양대학교 의과대학 성형외과학교실)
  • Sung, Kun Yong (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University) ;
  • Ahn, Hee Chang (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University) ;
  • Hwang, Weon Jung (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University) ;
  • Jo, Dong In (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
  • 투고 : 2004.04.30
  • 발행 : 2005.01.10
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초록

The purpose of this study is to assess abdominal sensation after free TRAM flap for breast reconstruction. 74 patients underwent breast reconstruction with free TRAM flap by authors and were followed up to check the sensation on abdomen following the surgery at the out patient clinic. They are compared with 20 female volunteer controls. Abdomens were divided into 13 zones, and assessed for superficial touch, superficial pain, temperature, two-point discrimination, and vibration. For all five sensory modalities, subjects were found to have decreased sensation in the umbilical and infraumbilical regions. This was statistically significant compared with controls. Division following pedicle dissection showed more reduction of sensation than non-dissection side. Both Inguinal areas below the donor site closure also showed markedly decreased sensation. Sensation on most area of abdomen recovered in postoperative 1 year, however, there were remained hypoesthesia in umbilical and infraumbilical area after post operative 1 year. This study clearly demonstrates that there is a significant and persistent reduction in abdominal sensibility following free TRAM flap surgery.

키워드

참고문헌

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