Abstract

FIDALGO RODRIGUEZ, F.; REDONDO CAMACHO, A.; DEAN FERRER, A.  and  RIOJA TORREJON, L. F.. Reshaping in free TRAM and DIEP flaps. Cir. plást. iberolatinoam. [online]. 2007, vol.33, n.1, pp.37-48. ISSN 1989-2055.

Breast reconstruction through microsurgical autotrasplant is the most common procedure in breast cancer patients. The technical advances have allowed the development of the free TRAM flap (later the DIEP flap), which are the prime examples of the therapeutic material in this field. The implementation of microsurgical techniques has improved the results in breast reconstruction by increasing the survival rate and decreasing the complications. For plastic surgeons, the practice of this procedure is a genuine challenge which, nowadays, should become a daily task in all Plastic Surgery Units. In our Plastic Surgery Unit, the implementation of these techniques started in 1999, having practiced 42 cases so far. At first, the development of the microsuture was the most important issue; every surgeon"s effort was directed to achieve an optimal suture. The rest was considered of lesser importance. However, our conception has changed: we consider that the most important issue now is not only the effort mentioned above but, mainly, a satisfactory reshaping of the flap in ordee to give the breast an actual appearance. In the present study, we put forward a series of technical advices that can be useful when finishing breast reconstruction through either free TRAM or DIEP, recreating a new breast as similar to the counterside healthy breast as possible. We show up, then, the importance of this fact in order to achieve a successful breast reconstruction.

Keywords : Remodelation; Breast Reconstruction.

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