Comparison of fat necrosis between zone II and zone III in pedicled transverse rectus abdominis musculocutaneous flaps: a prospective study of 400 consecutive cases.

Abstract:

:Fat necrosis in transverse rectus abdominis musculocutaneous (TRAM) flap is considered to be mainly affected by blood supply. This prospective study compares the incidence of fat necrosis between zones II and III in 400 consecutive patients who had undergone unipedicled TRAM flap breast reconstruction. Fifty-eight patients (14.5%) suffered from fat necrosis, and 7 had 2 separate nodules. Fifty-four occurred in zone II, 10 in zone III, and 1 in zone I. The incidence of fat necrosis in zone II was significantly higher than in zone III (P < 0.001). The weight of the mastectomy specimen and the relative amount of zone II tissue included in the flap had positive correlation with the incidence of fat necrosis. This result implies relatively poor perfusion of zone II compared with zone III.

journal_name

Ann Plast Surg

authors

Kim EK,Lee TJ,Eom JS

doi

10.1097/01.sap.0000252770.15946.14

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

256-9

issue

3

eissn

0148-7043

issn

1536-3708

pii

00000637-200709000-00004

journal_volume

59

pub_type

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