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Concomitant or Delayed Intra-abdominal Operation in Immediate Breast Reconstruction with TRAM Flap  

Kim, Kyu-Nam (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)
Publication Information
Archives of Plastic Surgery / v.37, no.1, 2010 , pp. 22-25 More about this Journal
Abstract
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.
Keywords
Concomitant intra-abdominal operation; Delayed intra-abdominal operation; TRAM flap operation;
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