L.V. Sotskiy, A.F. Kartasheva, N.L. Matveyev THE ASSESSMENT OF TRAM-FLAP BLOOD SUPPLY IN PERFORMING PRELIMINARY KLIPPING OF DEEP LOWER EPIGASTRIC ARTERIES | Issues of reconstructive and plastic surgery. 2014. № 2(49).

L.V. Sotskiy, A.F. Kartasheva, N.L. Matveyev THE ASSESSMENT OF TRAM-FLAP BLOOD SUPPLY IN PERFORMING PRELIMINARY KLIPPING OF DEEP LOWER EPIGASTRIC ARTERIES

Aimed at improving results of delayed reconstructive operations using transverse recrus abdominis musculocutaneous (pedicle TRAM-flap) in patients after radical mastectomy, preliminary reduction of blood flow in inferior epigastic vessels (viens and arteries) - main blood vessels feeding the TRAM-flap - was performed. Endoscopic technique which we used is proved to compensatory increase blood supply in superior epigastric arteries which increases survival of displaced tissues of the flap.

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Keywords

training of blood flow, superior epigastric artery, inferior epigastric artery, TRAM-flap, breast cancer, тренировка кровотока, верхняя эпигастральная артерия, нижняя эпигастральная артерия, TRAM-лоскут, рак молочной железы

Authors

Name	Organization	E-mail
		Lev.s@inbox.ru

Всего: 3

References

Roy C., Brown J. The blood pressure and its variations in the arterioles, capillaries and smaller veins // J. Physiol.- 1879. - V. 2. - p. 323-326.

Bostwick J., Nahai F., Watterson P. A., et al. TRAM flap delay for breast reconstructions in the high risk patients: definition of risk factors in 556 patients and evaluation of a 10-year experience with TRAM flap delay // Am. Assoc. Plast. Surg. - 1993 - p. 37.

Restifo R., Ward B., Scoutt L. Timing, magnitude and utility of surgical delay in the TRAM flap: Clinical studies. // Plast. Reconstr. Surg. - 1997. - V. 99, N. 5. - p. 1217-1223.

Ozgentas H.E., Shenaq S., Spira M. Study of the delay phenomenon in the rat TRAM flap model. // Plast. Reconstr. Surg. - 1994. - V. 94. - p. 1018.

Beasley M. The pedicled TRAM as preference for immediate autogenous tissue breast reconstruction. // Ann. Plast. Surg., 1993. - V 31 - N. 2. - p. 98-100.

Dorion D., Boyd J., Pang C. Augmentation of transmidline skin perfusion and viability in transverse rectus abdominis myocutaneous (TRAM) flaps in the pig // Plast. Reconstr. Surg., 1991. - V. 88. - p. 642-651.

Harry K. Moon., G. Ian Teylor. The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system // Plast. Reconstr. Surg. - 1988 - V. 82 - p. 815.

Ashley P. Tregaskiss M.R.C.S. Adam N. Goodwin, M.R.C.S. Robert D. Acland F.R.C.S. The Cutaneous Arteries of the Anterior Abdominal Wall: A Three-Dimensional Study // Plast. Reconstr. Surg., 1976. - V. 58. - p. 137.

Wei Fu Chan, Mordini S. Flaps and reconstructive surgery. - Elsevier, 2009. - p. 206-223.