- 期刊
Using Microvascular Anastomotic Coupler System for Venous Anastomosis of Internal Mammary Vein in Breast Reconstruction
利用Microvascular Anastomotic Coupler System接合內乳靜脈之乳房重建
摘要
隨著發現從遠方轉移類似的組織取代原組織的能力，顯微手術已經改革了重建的策略。而利用內乳靜脈做為顯微靜脈接合仍然是乳房重建中最大的挑戰之一，本篇文章的目的在於研究乳房重建中利用Microvascular Anastomotic Coupler System接合內乳靜脈的成果。2003年3月至2005年12月期間，利用7個自由式深下腹動脈穿透枝皮瓣來重建乳房，5例(71.4%)為延遲性重建，2例(28.6%)為立即性重建，6例是用來治療乳房切除術後胸部缺陷，1例是用來覆蓋燙傷後疤痕攣縮，在這7例重建中，使用Microvascular Anastomotic Coupler System來做靜脈接合，沒有病人有短期或是長期的異物反應，有著相對容易使用，節省時間並且較少技術依賴性的優點。Microvascular Anastomotic Coupler System是值得信賴的因為其有高通暢性以及低併發症率，它值得被推薦在乳房重建中，用來接合內乳靜脈。
關鍵字
無資料並列摘要
Microsurgery replacing like tissue with like tissue from a distant site has revolutionized the strategy of reconstruction. The microvascular venous anastomosis remains one of the most challenges for breast reconstruction using internal mammary vessels as the recipient site. The objective of this study was to study the outcome of using Microvascular Anastomotic Coupler (MAC) System for venous anastomosis of internal mammary vein (IMV) in breast reconstruction. Between March of 2003 and December of 2005 seven deep inferior epigastric perforator (DIEP) flaps with the IMV as the recipient sites were used for breast reconstruction. Five flaps (71.4%) were in delayed reconstructions and two flaps (28.6%) in immediate recosntructions. Six reconstructions were for the treatment of post mastectomy breast defect and one was for resurfacing of post- burn scar contracture. The venous anastomoses were performed using the MAC in the 7 reconstructions. All the venous anastomoses were patent, giving a 100% success rate. None of the patients manifested any peri-operative complication or long-term foreign body reaction. The MAC has the advantages of relative easy use, time saving and less technique demand. The MAC is a reliable technique with high patency rate and low complication rate. It is advised to use in venous anastomosis of internal mammary vein for breast reconstruction.
延伸閱讀
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