유방암 환자에서 유방 절제술 후 횡복직근 근피판을 이용한 즉시 재건수술의 임상적 유용성 (Clinical Usefulness of Immediate Transverse Rectus Abdominis Myocutaneous Flap Reconstruction after Mastectomy in Breast Canccer Patients)

서지정보

· 발행기관 : 고신대학교(의대) 고신대학교 의과대학 학술지
· 수록지 정보 : 고신대학교 의과대학 학술지 / 24권 / 1호 / 39 ~ 43페이지
· 저자명 : 박진형

초록

Background: The importance of the reconstruction surgery of the breast, the symbol of woman, is being increased because of the rapid increase of the frequency of breast cancer. There are many options for breast reconstruction including simple prosthetic insertion, and a flap operation using autologous abdominal tissue. We are going to comparing with clinical usefulness for many ways of breast reconstruction.
Methods: This study worked on nine breast cancer patients in Kosin university gospel hospital from 2007. December to 2009. March. One patient applied with Tissue expander, Other two applied with Latissimus dorsi flap and the other six applied with TRAM flap for breast reconstruction. Each of patients evaluated the cosmetic satisfaction in 4 point scoring system and most of patients who applied with TRAM flap were in perfect content.
Results: There was no complication among nine patients except the one got fat necrosis. According to the patients` expressed opinions, almost all patients by transverse rectus abdominis myocutaneous(TRAM) flap reconstruction were pleased with the result.
Conclusion: We had great result from breast reconstruction with transverse rectus abdominis myocutaneous(TRAM) flap during the process and after operation. It appears the best way for a breast reconstruction because it was comparatively easy to operate.

영어초록

Background: The importance of the reconstruction surgery of the breast, the symbol of woman, is being increased because of the rapid increase of the frequency of breast cancer. There are many options for breast reconstruction including simple prosthetic insertion, and a flap operation using autologous abdominal tissue. We are going to comparing with clinical usefulness for many ways of breast reconstruction.
Methods: This study worked on nine breast cancer patients in Kosin university gospel hospital from 2007. December to 2009. March. One patient applied with Tissue expander, Other two applied with Latissimus dorsi flap and the other six applied with TRAM flap for breast reconstruction. Each of patients evaluated the cosmetic satisfaction in 4 point scoring system and most of patients who applied with TRAM flap were in perfect content.
Results: There was no complication among nine patients except the one got fat necrosis. According to the patients` expressed opinions, almost all patients by transverse rectus abdominis myocutaneous(TRAM) flap reconstruction were pleased with the result.
Conclusion: We had great result from breast reconstruction with transverse rectus abdominis myocutaneous(TRAM) flap during the process and after operation. It appears the best way for a breast reconstruction because it was comparatively easy to operate.

참고자료

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