Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

A Case Report of Breast Reconstruction with Free TRAM Flap in HIV-Infected Patient

HIV 감염 환자에서 유리 횡복직근피부근피판을 이용한 유방재건 수술의 치험례

  • Song, Jung-Yoon (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Kim, Min-Ho (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Chang, Hak (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Minn, Kyung-Won (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
  • 송정윤 (서울대학교 의과대학 성형외과학교실) ;
  • 김민호 (서울대학교 의과대학 성형외과학교실) ;
  • 장학 (서울대학교 의과대학 성형외과학교실) ;
  • 민경원 (서울대학교 의과대학 성형외과학교실)
  • Received : 2011.04.29
  • Accepted : 2011.05.31
  • Published : 2011.07.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Despite the increasing number of patients with HIV (human immunodeficiency virus) infection, surgical experience with these patients remains limited in aesthetic and reconstructive surgery. The authors performed breast reconsruction with free TRAM (Transverse Rectus Abdominis Muculocutaneous) flap in HIV infected patient firstly in Korea. Methods: A 53-years-old female with HIV positive underwent delayed breast reconstruction with free TRAM flap and 6 months lateral nipple reconstruction was performed. All procedures were performed according to the HIV infection control guidelines provided by the Korea Centers for Disease Control and Prevention. Results: There were no complications such as infection, hematoma and flap loss and symmetry of breast was achieved. Conclusion: When the operation is performed in line with the guidelines of HIV infection control, breast reconstruction with free flap is possible and can obtain successful results.

Keywords

References

  1. Nelson L, Stewart KJ: HIV and the surgeon. J Plast Reconstr Aesthet Surg 61: 355, 2008 https://doi.org/10.1016/j.bjps.2008.02.002
  2. SW Hyun, H Jung, JK Park, ST Oh, SK Chang: A case report of surgical treatment of anal Condyloma Acuminata in HIV-infected patient. J Korean Soc Coloproctol 18: 349, 2002
  3. Mahoney CR, Glesby MJ, DiCarlo EF, Peterson MG, Bostrom MP: Total hip arthroplasty in patients with human immunodeficiency virus infection: pathologic findings and surgical outcomes. Acta Orthop 76: 198, 2005 https://doi.org/10.1080/00016470510030571
  4. Harrison KM, Song R, Zhang X: Life expectancy after HIV diagnosis based on national HIV surveillance data from 25 states, United States. J Acquir Immune Defic Syndr 53: 124, 2010 https://doi.org/10.1097/QAI.0b013e3181b563e7
  5. Nelson L, Stewart KJ: Plastic surgical options for HIVassociated lipodystrophy. J Plast Reconstr Aesthet Surg 61: 359, 2008 https://doi.org/10.1016/j.bjps.2007.11.014
  6. Pietrabissa A, Merigliano S, Montorsi M, Poggioli G, Stella M, Borzomati D, Ciferri E, Rossi G, Doglietto G: Reducing the occupational risk of infections for the surgeon: multicentric national survey on more than 15,000 surgical procedures. World J Surg 21: 573, 1997 https://doi.org/10.1007/s002689900275
  7. Harrison WJ, Lewis CP, Lavy CB: Wound healing after implant surgery in HIV-positive patients. J Bone Joint Surg Br 84: 802, 2002 https://doi.org/10.1302/0301-620X.84B6.12641