BACKGROUND: We routinely perform free DIEP flap and fascia-muscle-sparing (fms) TRAM flap procedures using fibrin sealant to stabilise anastomosed vessels, thus avoiding some of the difficulties associated with microsurgical anastomoses. METHODS: Women undergoing elective, autologous breast reconstruction with free DIEP flaps or fms-TRAM flaps between June 2004 and June 2007 in two Interdisciplinary Breast Centres were included in a retrospective chart review. RESULTS: A total of 349 breast reconstructions were performed in 325 women. Of these, 201 (57.6%) were free DIEP flap procedures and 148 (42.4%) were fms-TRAM flap procedures. Average hospital stay was 9.8 days. Complete flap loss was seen in 3 cases (0.9%). Low rates of post-operative complications were observed. CONCLUSIONS: Microsurgical breast reconstruction using free DIEP flaps and fms-TRAM flaps, with fibrin sealant for stabilisation of microvascular anastomoses, provides good post-operative outcome featuring a low incidence of flap loss or other common post-operative complications.
BACKGROUND: We routinely perform free DIEP flap and fascia-muscle-sparing (fms) TRAM flap procedures using fibrin sealant to stabilise anastomosed vessels, thus avoiding some of the difficulties associated with microsurgical anastomoses. METHODS:Women undergoing elective, autologous breast reconstruction with free DIEP flaps or fms-TRAM flaps between June 2004 and June 2007 in two Interdisciplinary Breast Centres were included in a retrospective chart review. RESULTS: A total of 349 breast reconstructions were performed in 325 women. Of these, 201 (57.6%) were free DIEP flap procedures and 148 (42.4%) were fms-TRAM flap procedures. Average hospital stay was 9.8 days. Complete flap loss was seen in 3 cases (0.9%). Low rates of post-operative complications were observed. CONCLUSIONS: Microsurgical breast reconstruction using free DIEP flaps and fms-TRAM flaps, with fibrin sealant for stabilisation of microvascular anastomoses, provides good post-operative outcome featuring a low incidence of flap loss or other common post-operative complications.
Authors: Kuo Chen; Narasimha M Beeraka; Mikhail Y Sinelnikov; Jin Zhang; Dajiang Song; Yuanting Gu; Jingruo Li; I V Reshetov; O I Startseva; Junqi Liu; Ruitai Fan; Pengwei Lu Journal: Front Surg Date: 2022-02-15
Authors: Christoph Andree; Stefan Langer; Katrin Seidenstuecker; Philipp Richrath; Philipp Behrendt; Tobias Koeppe; Mazen Hagouan; Christan Witzel; Samma Al Benna; Beatrix Munder Journal: Med Sci Monit Date: 2013-06-17
Authors: Christoph Andree; Beatrix I Munder; Katrin Seidenstuecker; Philipp Richrath; Philipp Behrendt; Tobias Köppe; Mazen Hagouan; Werner Audretsch; Carolin Nestle-Kraemling; Christian Witzel Journal: Med Sci Monit Date: 2012-12