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Nipple-sparing mast...
Nipple-sparing mastectomy with immediate breast reconstruction with a deep inferior epigastric perforator flap without skin paddle using delayed primary retention suture
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- Francis, Eamon C. (författare)
- Chang Gung Univ, Chang Gung Mem Hosp, Dept Plast & Reconstruct Surg, Div Reconstruct Microsurg,Coll Med, 5 Fu Hsing St, Taoyuan 33305, Taiwan.;Royal Coll Surgeons Ireland, Dept Plast & Reconstruct Surg, Dublin 2, Ireland
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- Dimovska, Eleonora O. F. (författare)
- Uppsala universitet,Plastikkirurgi,Chang Gung Univ, Chang Gung Mem Hosp, Dept Plast & Reconstruct Surg, Div Reconstruct Microsurg,Coll Med, 5 Fu Hsing St, Taoyuan 33305, Taiwan
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- Chou, Hsu-Huan (författare)
- Chang Gung Mem Hosp, Dept Gen Surg, Taoyuan, Taiwan
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- Lin, Yi-Ling (författare)
- Chang Gung Univ, Chang Gung Mem Hosp, Dept Plast & Reconstruct Surg, Div Reconstruct Microsurg,Coll Med, 5 Fu Hsing St, Taoyuan 33305, Taiwan
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- Cheng, Ming-Huei (författare)
- Chang Gung Univ, Chang Gung Mem Hosp, Dept Plast & Reconstruct Surg, Div Reconstruct Microsurg,Coll Med, 5 Fu Hsing St, Taoyuan 33305, Taiwan.;Chang Gung Mem Hosp, Ctr Tissue Engn, Taoyuan, Taiwan.;Chang Gung Mem Hosp, Ctr Lymphedema Microsurg, Taoyuan, Taiwan.;Univ Michigan, Sect Plast Surg, Ann Arbor, MI 48109 USA
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Chang Gung Univ, Chang Gung Mem Hosp, Dept Plast & Reconstruct Surg, Div Reconstruct Microsurg,Coll Med, 5 Fu Hsing St, Taoyuan 33305, Taiwan;Royal Coll Surgeons Ireland, Dept Plast & Reconstruct Surg, Dublin 2, Ireland Plastikkirurgi (creator_code:org_t)
- 2022-03-17
- 2022
- Engelska.
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Ingår i: Journal of Surgical Oncology. - : John Wiley & Sons. - 0022-4790 .- 1096-9098. ; 125:8, s. 1202-1210
- Relaterad länk:
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https://onlinelibrar...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background This study investigated the outcomes of nipple-sparing mastectomy (NSM) with a deep inferior epigastric perforator (DIEP) flap using delayed primary retention suture (DPRS) to achieve superior breast esthetics.Methods Between December 2010 and March 2021, patients who underwent NSM with DIEP flap were inset with or without a skin paddle (using DPRS) as Group A or B, respectively. Demographics, operative findings, complications, BREAST-Q questionnaire, and Manchester scar scale were compared between two groups.Results Twelve patients underwent 12 unilateral reconstructions in Group A, while 12 patients underwent 13 DIEP flaps in Group B. There was no significant difference in demographics, ischemia time, flap-used weight and percentage, complications of hematoma, infection, re-exploration, partial flap loss, and total flap loss (All p > 0.05, respectively). At a mean 9 months of follow-up, the Breast-Q "Satisfaction with surgeon" domain was significant in Group B (p = 0.04). At a mean 12 months of follow-up, the overall Manchester scar scale of 10.3 in Group B was statistically superior to 12.6 in Group A (p = 0.04).Conclusions The NSM with a DIEP flap using DPRS is a reliable and straightforward technique. It can provide greater cosmesis of the reconstructed breast mound in a single-stage procedure.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- deep inferior epigastric perforator flap
- delayed primary retention suture
- flap monitoring
- nipple-sparing mastectomy
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- ref (ämneskategori)
- art (ämneskategori)
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