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Immediate Breast Reconstruction with TRAM Flap after Nipple-Areolar Sparing Mastectomy  

Suh, Hyun Suk (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine)
Lee, Taik Jong (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine)
Eom, Jin Sub (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine)
Ahn, Sei Hyun (Department of Surgery, Asan Medical Center, University of Ulsan, College of Medicine)
Son, Byung Ho (Department of Surgery, Asan Medical Center, University of Ulsan, College of Medicine)
Publication Information
Archives of Plastic Surgery / v.33, no.5, 2006 , pp. 570-576 More about this Journal
Abstract
Purpose: Skin-sparing mastectomy(SSM) with immediate breast reconstruction is becoming a proved option for early-stage breast cancer patients. Recently, skin-sparing mastectomy with preserving the nipple-areolar complex is becoming popular procedure. Methods: During a 13-month period, from April 2004 to January 2005, 101 cases of immediate breast reconstructions with pedicled TRAM flap were performed after 40 cases of nipple-areolar sparing mastectomies, 57 cases of skin-sparing mastectomies and 4 cases of modified radical mastectomies. Results: During the 11 months follow up period, necrosis of mastectomy skin flap occurred in 17.5%(n=10) after skin-sparing mastectomy and necrosis of mastectomy skin flap and nipple-areolar necrosis occurred in 30%(n=12) after nipple-areolar sparing mastectomy. These complications were healed after simple dressing without any surgical procedure. Conclusion: Nipple-areolar sparing mastectomy and immediate breast reconstruction with TRAM flap is good option for early breast cancer patients and some modifications are needed to reduce skin necrosis.
Keywords
Skin-sparing mastectomy(SSM); Nipple-areolar sparing mastectomy; Immediate breast reconstruction;
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