Transverse rectus abdominis musculocutaneous flap breast reconstruction in sickle cell disease.

Abstract:

:Patients with homozygous sickle cell disease pose an enormous challenge to the reconstructive surgeon. Historically, the risk of attempting flap reconstruction was considered prohibitive. A successful case of immediate breast reconstruction with a "supercharged" bipedicled transverse rectus abdominis musculocutaneous flap is presented. Perioperative transfusions that maintained the sickle hemoglobin S level below 30% were crucial in preventing erythrocyte sickling in the microcirculation of the flap during the period of relative ischemia.

journal_name

Ann Plast Surg

authors

Hawes AS,Carlson GW

doi

10.1097/00000637-199511000-00011

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

511-3; discussion 513-4

issue

5

eissn

0148-7043

issn

1536-3708

journal_volume

35

pub_type

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