Abstract:
:Consecutive or simultaneous contralateral breast reduction is a frequent request from patients undergoing unilateral breast reconstruction. Both procedures can be combined using otherwise discarded tissue as a split breast graft for reconstruction of the contralateral side. There have been few reports on the use of pedicled split breast grafts. We present a 75-year-old female with multicentric mammary carcinoma following chemotherapy, mastectomy, axillary lymph node dissection and radiotherapy. She requested a reconstruction of the left breast as well as reduction of the right breast. Risk factors, including heavy alcohol and tobacco dependence and COPD, limited the surgical options. While a free flap breast reconstruction was the standard feasible option, we opted for a procedure with minimal surgery-related morbidity. The right breast was evidently tumor-free, and the patient had no family history of breast cancer. Reconstruction was performed 22 months postmastectomy. The split-breast free flap was based on the right internal mammary artery (IMA) perforator and harvested during the right-sided breast reduction. Microsurgical anastomosis was performed on the IMA perforator on the left side. Mastopexy was performed on the right side and the nipple-areola complex (NAC) was transferred to its new position as a free graft to complete the breast reduction. A tattoo of the left NAC was performed 4 months postreconstruction. There was complete flap survival with a pleasant cosmetic result. Split breast reconstruction could be an alternative to more common procedures. However, this approach is only feasible in patients with hypertrophic contralateral breast and absence of risk factors for developing a second primary breast cancer.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Scaglioni MF,Rodi T,Wishart K,Fritsche Edoi
10.1002/micr.30654subject
Has Abstractpub_date
2020-09-19 00:00:00eissn
0738-1085issn
1098-2752pub_type
相关文献
MICROSURGERY文献大全abstract::We tested the hypothesis that the intrinsic vascular plexus of the motor nerve could support viability in a rat hindlimb muscle flap. In a preliminary study, we examined the course and vascularity of the sciatic nerve, the peroneal nerve, and the peroneous longus muscle in the rat hindlimb via anatomic dissection, mic...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20609
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to evaluate the results of reconstruction and rehabilitation of patients with plantar defects by using a chimerical flap of muscle and skin from anterolateral thigh. METHODS:Twenty-five patients with plantar defects were reconstructed with a chimerical anterolateral thigh (ALT) f...
journal_title:Microsurgery
pub_type: 临床试验,杂志文章
doi:10.1002/micr.22492
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Persistent genital arousal disorder (PGAD) is a woman's perception that she is in a state of sexual arousal, without the ability of arousal to be satisfied by orgasm. It is the hypothesis of this study that PGAD results from a minimal degree of nerve compression of the dorsal branch of the pudendal nerve. If...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30464
更新日期:2020-02-01 00:00:00
abstract::Isolated penile lymphedema is a rare but severely disabling condition due to reduced lymphatic drainage. In this area treatment opportunities are poor being that conservative management is usually not effective and surgery limited to debulking lymphangiectomy, which is indicated only in very severe cases. Lymphovenous...
journal_title:Microsurgery
pub_type:
doi:10.1002/micr.30560
更新日期:2020-09-01 00:00:00
abstract::An experimental model was developed for continuous measurement of the common carotid blood flow, in the anesthetized rat, with an electromagnetic flowmeter. The mean carotid blood flow for 41 rats averaged 3.2 +/- 0.2 ml/min at an average mean arterial pressure of 101 +/- 2.5 mm Hg and arterial pO2 of 106 +/- 3.4 mm H...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920130513
更新日期:1992-01-01 00:00:00
abstract::Nerve injuries to the upper and inferior limbs represent a common event due both to home and working accidents. Minor traumas can lead to severe disabilities if a wrong treatment is carried out. From 1997 to 2005, 920 patients were observed with a total of 1,200 major or minor nerves injuries operated. In 852 cases ac...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20382
更新日期:2007-01-01 00:00:00
abstract::The bridging of nerve gaps is still one of the major problems in peripheral nerve surgery. The present experiment describes our attempt to engineer different biologic nerve grafts in a rat sciatic nerve model: cultured isogenic Schwann cells were implanted into 2-cm autologous acellular nerve grafts or autologous pred...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10056
更新日期:2002-01-01 00:00:00
abstract::The creation of a distal arteriovenous fistula for haemodialysis is made easier by using preventive haemostasis with an inflatable tourniquet. Preventive haemostasis reduces the duration of the surgery and reduces the arterial spasm provoked by the dissection. When microsurgical techniques and preventive haemostasis a...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140709
更新日期:1993-01-01 00:00:00
abstract::Impaired capillary perfusion may result in flap failure. Platelet emboli, polymorphonuclear leukocytes (PMNs), and/or vasospasm have been identified as possible causes. This study investigates the role of PMNs in causing impaired capillary perfusion in a free flap model. PMN concentrations were depleted using antineut...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(sici)1098-2752(1998)18:1<23::aid-micr6>3.
更新日期:1998-01-01 00:00:00
abstract::The standard superficial epigastric artery flap has become a reliable model for flap research. The purpose of this study was to design a flap model in the rat, with the possibility of intraoral coverage of defects. A fat flap based only on the medial trunk of the superficial epigastric vessels was generated, raised to...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20539
更新日期:2008-01-01 00:00:00
abstract::Freeze-dried venous interposition allografts with an internal diameter of 1.0 mm and a length of 1.0 cm were placed into the femoral arteries of 17 Sprague-Dawley albino male rats in order to investigate patency and host tissue response. The immediate patency rate was 88%. The epigastric island flap was monitored as a...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920060405
更新日期:1985-01-01 00:00:00
abstract::In order to be able to objectively evaluate capillary perfusion of venous flaps, we created arterialised venous flaps, venous flow-through flaps, and unilateral pedicled venous island flaps in the epigastric vascular system of Wistar rats and determined their oxygen supply with two different methods. Interstitial pO2 ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(sici)1098-2752(1998)18:5<324::aid-micr5>3
更新日期:1998-01-01 00:00:00
abstract::Interrupted microsurgical sutured anastomoses are the standard to which all new anastomotic techniques must be compared. In 1902, Alexis Carrel described a continuous suture technique for large vessels that initially triangulated the anastomosis with three stay sutures. Our technique is a modification of Carrel's orig...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920130211
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:Plate extrusions after free tissue transfer for mandibular reconstruction can be problematic and generally require revision surgery. Our objective was to assess the predictors of plate extrusion and compare outcomes between fibular free flaps (FFF), lateral border scapular flaps (LBSF), and scapular tip free...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30349
更新日期:2018-09-01 00:00:00
abstract::The feasibility of peripheral nerve allograft pretreatment utilizing cold storage (5 degrees C in the University of Wisconsin Cold Storage Solution) or freeze-thawing to prevent rejection was investigated. Regeneration across cold-stored (3 or 5 weeks) or freeze-thawed (FT), 3.0-cm sciatic nerve allografts were compar...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(sici)1098-2752(1999)19:3<115::aid-micr1>3
更新日期:1999-01-01 00:00:00
abstract::This paper describes a new transplantation technique, using the colon instead of the small bowel for intestinal transplantation. With microsurgical techniques, allogeneic colon transplantation was carried out in rats in a heterotopic fashion. The vascular pedicle containing the aortic cuff and the portal vein was anas...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140313
更新日期:1993-01-01 00:00:00
abstract::A case is presented where both the ulnar nerve and palmaris profundus tendon were found within the carpal tunnel during routine open decompression for carpal tunnel syndrome. ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10196
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:Reconstruction of the lower leg commonly requires a free tissue transfer after Gustillo grade IIIB-IIIC injuries and severe postoncological resections, where, free musculocutaneous flaps (MCF) are preferred for their size and robust blood supply. The anastomoses are performed at more proximal levels to kee...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20755
更新日期:2010-09-01 00:00:00
abstract::Improved microsurgical techniques for kidney transplantation in the mouse are described. Left renal transplantation is performed with end-to-side anastomoses of the donor renal vein to the inferior vena cava and the donor aortic cuff to the aorta. Urinary tract reconstruction is accomplished by suturing the donor uret...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920160212
更新日期:1995-01-01 00:00:00
abstract::A new microvascular clamp was developed from inexpensive and readily available materials. This clamp, when properly applied, can provide many hours of vessel occlusion with minimal damage to the vessel intima. This clamp has important applications in producing prolonged experimental ischemia without significant vessel...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920050407
更新日期:1984-01-01 00:00:00
abstract::Using 9-12-month-old Lewis rats, our laboratory performed consecutive organ transplantations to assess the technical feasibility and observe the histopathologies of prolonged transplants and implants over a rat's life span. This study includes a total of 688 cases of consecutive syngeneic organ transplantation, includ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20138
更新日期:2005-01-01 00:00:00
abstract::Over the last 40 years, various factors that influence the outcome of peripheral nerve surgery have been recognized. Some of these factors, such as age of the patient and time interval between injury and surgery, cannot be controlled by the surgeon. On the other hand, other factors related to technical details are the...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20242
更新日期:2006-01-01 00:00:00
abstract::We present a case of a 34-year-old white female patient who, 13 years ago, sustained a pathological intracapsular femoral neck fracture on a pre-existing aneurysmal bone cyst. Three months later radiographic and magnetic resonance imaging evaluation revealed both femoral neck fracture and stage IV osteonecrosis of the...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20598
更新日期:2009-01-01 00:00:00
abstract::Big craniofacial resections for highly invasive malignant neoplasm, including skull base and maxillary bones, always represent a difficult chance for the reconstructive surgeon. In these cases it is not easy to restore anatomy and function simultaneously even adopting complex microsurgical techniques. In maxillofacial...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20694
更新日期:2010-01-01 00:00:00
abstract::Circumferential choledochoplasties with vascular grafts have rarely been attempted either experimentally or in clinical practice. In this study, choledochoplasties using autologous venous and arterial grafts were performed in rats. Sixty-four rats were randomly selected into five treatment groups: A) venous interposit...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140917
更新日期:1993-01-01 00:00:00
abstract::Microvascular anastomosis is a demanding skill requiring technical excellence and a thorough knowledge of anatomy and physiology. Every suture placed in a microvascular anastomosis should be considered critical as each has the potential to compromise the delicate reconstruction. As such, any device that can facilitate...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20286
更新日期:2006-01-01 00:00:00
abstract::In this report, we describe the first case of using the partial phrenic nerve transfer and direct muscular implantation into the deltoid muscle for restoration of the shoulder function and stability. A patient suffering from the partial brachial plexus injury with absent axillary nerve underwent reconstructive surgery...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20651
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:Primary functional and aesthetic results after free-flap salvage of lower extremities are occasionally suboptimal. The objective of this study was to identify predictors for secondary refinement procedures such as liposuction, dermolipectomy, or direct excision. In addition, patient-reported long-term sati...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30219
更新日期:2018-03-01 00:00:00
abstract::Replantation of an amputated digit in a child demands special techniques for success. Our experiences with replantation in this age group have shown that although these patients have a lower viability rate after digital replantation, those digits that do survive develop excellent function. In this case report of a 7-m...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920090308
更新日期:1988-01-01 00:00:00
abstract::Vascular prostheses with the inner diameter smaller than 1 mm were implanted to the common carotid artery of rats, and their patency was examined. Four types of tubes were prepared for this purpose in Experiment 1: polyethylene (PE), poly-(acrylic acid)-grafted polyethylene (PE-AA), polyacrylamide-grafted polyethylene...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920050310
更新日期:1984-01-01 00:00:00