压缩 发表于 2025-3-21 19:24:40
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Why Use Free Flaps?,nstruction. The advantages of free tissue transfer include reduced donor site morbidity, increased flap blood flow, a superiorly based blood supply that facilitates breast mound revision, and an increased choice of donor sites. At M. D. Anderson Cancer Center, the free TRAM flap is the most commonlyAblation 发表于 2025-3-22 03:30:21
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Delayed Breast Reconstruction, technically more difficult than immediate reconstruction, especially in previously irradiated patients. All scar tissue must be released so that whatever original breast skin is present can expand into its original position, making the defect apparent. Missing skin must then be replaced, along with取回 发表于 2025-3-22 12:15:00
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Free TRAM Flap,ction method of choice for most patients. Key points for successful performance of the free TRAM flap include adequately exposing the recipient vessels, dissecting an adequate pedicle length, and making sure that the vein in the pedicle is not twisted. Only the fascia required to maintain flap viabiExcise 发表于 2025-3-23 00:33:59
Deep Inferior Epigastric Perforator Flap,le so that no muscle need be included in the flap. This technique has the advantage of reduced donor site morbidity but requires more time for flap elevation and results in a less robust flap blood supply than the standard free TRAM flap. At the time of this writing, the DIEP flap remains relativelyProsaic 发表于 2025-3-23 03:57:57
TRAM Flap Postoperative Care and Complications,ctasis should be prevented or treated, as should gastric dilatation. If a free flap has been performed, postoperative flap monitoring is performed hourly for 3 days. If significant partial flap loss occurs, it should be treated aggressively with early debridement and, if necessary, tissue replacemeninstulate 发表于 2025-3-23 07:54:58
The Extended Latissimus Dorsi Myocutaneous Flap,e yet capable of achieving excellent results. It is most useful for very obese patients and for patients older than 65 years. It can also be used successfully in patients who have very small breasts and therefore do not require transfer of much tissue volume. The ELD technique has the disadvantage o