dc.contributor.author |
Ismagilov A. |
|
dc.contributor.author |
Vanesyan A. |
|
dc.contributor.author |
Ovchinnikova I. |
|
dc.contributor.author |
Khamitov A. |
|
dc.contributor.author |
Basiashvili G. |
|
dc.contributor.author |
Zinchenko S. |
|
dc.date.accessioned |
2021-02-25T21:01:07Z |
|
dc.date.available |
2021-02-25T21:01:07Z |
|
dc.date.issued |
2020 |
|
dc.identifier.issn |
2227-684X |
|
dc.identifier.uri |
https://dspace.kpfu.ru/xmlui/handle/net/162888 |
|
dc.description.abstract |
© Gland Surgery. Background: Although internal mammary vessels are considered the best recipients for free flap breast reconstruction, they present the notable drawback of limited accessibility. The aim of this study was to develop a minimally invasive surgical technique for the dissection of internal mammary vessels as recipients for breast reconstruction. Methods: From 2008 to 2018, we performed 32 unilateral microsurgical breast reconstructions (mean patient age: 40.1±8.7 years; range, 23-58 years). As internal mammary vessels were exclusively used as recipients, they were dissected using a technique of minimally invasive video-assisted thoracoscopic surgery (VATS) developed in our hospital. Results: The mean surgery time was 5.4±0.55 hours (range, 4.5-6.5 hours), and the mean duration of VATS dissection of internal mammary vessels was 20.6±2.9 minutes (range, 16-27 minutes). Of the specific complications associated with VATS, we only observed reductions in forced expiratory volume in the first second of >15% in 3 patients (9.4%), 10-15% in 8 patients (25%), and <10% in 21 patients (65.63%). We did not have any cases of significant bleeding or postoperative infection in this series of patients. With regard to aesthetic complications, we observed 1 and 2 cases of total necrosis and partial necrosis of the deep inferior epigastric perforator (DIEP) flap, respectively and 2 cases of partial necrosis of supercharged transverse rectus abdominis muscle flap. Conclusions: Endoscopic dissection of internal mammary vessels is a simple and feasible technique. When performed by experienced surgeons, it is a fast procedure that is associated with low rate of complications. |
|
dc.relation.ispartofseries |
Gland Surgery |
|
dc.subject |
Breast reconstruction |
|
dc.subject |
DIEP-flap |
|
dc.subject |
Internal mammary vessel dissection |
|
dc.subject |
Video-thoracoscopic surgery |
|
dc.title |
New technique of dissection of internal mammary vessels for breast reconstruction |
|
dc.type |
Article |
|
dc.relation.ispartofseries-issue |
4 |
|
dc.relation.ispartofseries-volume |
9 |
|
dc.collection |
Публикации сотрудников КФУ |
|
dc.relation.startpage |
886 |
|
dc.source.id |
SCOPUS2227684X-2020-9-4-SID85089850144 |
|