Reconstrução Mamária com Retalho Músculo-Cutâneo do Reto Abdominal
DOI:
https://doi.org/10.32635/2176-9745.RBC.1982v29n1.3511Keywords:
Mammaplasty, Breast Neoplasms, Myocutaneous FlapAbstract
A technique that uses a miocutaneous flap from the rectus abdominal muscle in mammary reconstruction is described. The major advantages of th is technique are: a) The flap is large enough to reconstruct the breast and infraclavicular region without prothesis; b) It leaves no deformity at the donour área; c) The flap resembles the-contra-lateral breast in its colour and texture. Certain precautions, such as in case of previous scars at the donour area, the utiiization of the fiap on its total extension and the necessity of good drainage of the surgical site must be considered and are discussed in detail.
Downloads
References
HOLMSTROM, H – The free abdominoplasty flap and its use in breast reconstrüction. Transactions of the Seventh International Congress of Plastic and Reconstructive Surgery, Rio de Janeiro, 1979. DOI: https://doi.org/10.3109/02844317909013092
DREVER, J.M. — The epigastric island. flap Plast. & Reconst Surg., 59: 343 1977. DOI: https://doi.org/10.1097/00006534-197703000-00005
DREVER. J.M. - Total breast reconstrüction Ann. Plast. Surg. 7:54. 1981. DOI: https://doi.org/10.1097/00000637-198107000-00009
BROWN, R. G. VASCONEZ, L. and JURKIEWICZ. M.J, - Transverse abdominal flaps and the deep epigastric arcade. Plast, & Reconst. Sorp., 55: 416, 1975. DOI: https://doi.org/10.1097/00006534-197555040-00004
McGRAW, J B. DIBBELL, D G - Experimental definition of independem myocutaneous vascular territories Plast & Reconst. Surg., 60: 212. 1977. DOI: https://doi.org/10.1097/00006534-197708000-00007
BOSTWICK, J. III. VASCONEZ, L.O., and JURKIEWICZ, M.J – Breast reconstrüction after radical mastectomy, Plast. & Reconst, Surg. 61: 682. 1978, DOI: https://doi.org/10.1097/00006534-197805000-00004
MATHES, S. J. BOSTWICK. J, III – A rectus abdominis myocutaneous flap to reconstruct abdominal wall defects. Br J, Plast Surg, 30: 282. 1977 DOI: https://doi.org/10.1016/0007-1226(77)90118-7
DINNER, J.M. LABANDTER, H.P. DOWDEN, R.V. - The role of the rectus abdominis myocutaneous flap in breast reconstrüction. Plast & Reconstr Surg., 69: 209, 1982. DOI: https://doi.org/10.1097/00006534-198202000-00003
HARTRAMPT, C.R., SCHEFLAN, M. BLACK, P. — Breast reconstrüction with a transverse abdominal island flap. Plast, & Reconst. Surg., 69: 2116, 1982. DOI: https://doi.org/10.1097/00006534-198202000-00007
MARINO, H. Jr. DOGLIOTTI, P.- Mammary reconstrüction with bipedicled abdominal flap. Plast, & Reconst. Surg., 66: 933, 1981. DOI: https://doi.org/10.1097/00006534-198112000-00016
PERNKOPF — Atlas of Topographied and applied human anatomy. W.B. Saunders Company, 1964. VoL II.
