https://scholars.lib.ntu.edu.tw/handle/123456789/431439
標題: | Spontaneous rupture of posterior sheath of rectus abdominis after TRAM flap breast reconstruction | 作者: | Tang, Y.-B. Huang, K.-F. Liang, J.-T. |
關鍵字: | Breast reconstruction;Posterior sheath of rectus abdominis;Spontaneous rupture;TRAM | 公開日期: | 1997 | 卷: | 30 | 期: | 4 | 起(迄)頁: | 293 | 來源出版物: | Journal of Surgical Association Republic of China | 摘要: | We report an unusual early complication after TRAM (Transverse Rectus Abdominis Myocutaneous) flap breast reconstruction. Bilateral pedicled TRAM flap for breast reconstruction was performed on a 51-year-old female patient who received bilateral subcutaneous mastectomy due to foreign body granuloma of the breasts. The donor site was primarily closed. Postoperative course was complicated with respiratory distress leading to rupture of the posterior sheath of abdominal wall at the left side epigastrium. After synthetic mesh repair for the ventral hernia, the patient was discharged without further complication. We conclude that synthetic mesh may be used for tension or bilateral TRAM flaps donor site closure in respiratory compromised patient to prevent ventral hernia. We also conclude that respiratory assistance is mandated in patients bound for bilateral breast reconstruction. Pre-operative respiratory training is also crucial to obtain an uncomplicated post-operative course. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/431439 |
顯示於: | 醫學系 |
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