Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population

Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population

Background: The use of internal mammary perforators (IMP) as recipient vessels in autologous free flap breast reconstruction has many additional benefits compared to the internal mammary or thoracodorsal vessels. Our goal was to analyze the characteristics of these vessels and to evaluate the reliab...

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Main Authors: Halim, Ahmad Sukari, Ahmad Alwi, Akmal Azim
Format: Article
Language:English
Published: Lippincott Williams & Wilkins 2014
Subjects:
RD Surgery
Online Access:http://irep.iium.edu.my/48441/
http://irep.iium.edu.my/48441/
http://irep.iium.edu.my/48441/
http://irep.iium.edu.my/48441/4/48441.pdf
id iium-48441
recordtype eprints
spelling iium-484412018-06-19T04:09:56Z http://irep.iium.edu.my/48441/ Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population Halim, Ahmad Sukari Ahmad Alwi, Akmal Azim RD Surgery Background: The use of internal mammary perforators (IMP) as recipient vessels in autologous free flap breast reconstruction has many additional benefits compared to the internal mammary or thoracodorsal vessels. Our goal was to analyze the characteristics of these vessels and to evaluate the reliability of using them in an Asian population. Methods: Thirty-five consecutive patients were prospectively studied between November 2000 and December 2010. Twelve patients underwent muscle-sparing-2 TRAM, and 23 had DIEP flap reconstructions. Results: IMP vessels were utilized in 29 patients (83%). Most (75%) of the vessels were located in the subcutaneous plane, and 85% were in the 2nd and 3rd intercostal spaces. There were significantly more usable IMP vessels in the immediate than in the delayed reconstructions (p=0.049). All the flaps in the study were successful despite one requiring emergency reexploration due to venous congestion. Conclusions: Most of the IMP vessels are small; however, they are still reliable and safe for use as recipient vessels in selected Asian patients. The majority are located in the subcutaneous plane, which further facilitates dissection and also reduces recipient-site morbidity. Lippincott Williams & Wilkins 2014-08 Article PeerReviewed application/pdf en http://irep.iium.edu.my/48441/4/48441.pdf Halim, Ahmad Sukari and Ahmad Alwi, Akmal Azim (2014) Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population. Annals of Plastic Surgery, 73 (2). pp. 170-173. ISSN 0148-7043 E-ISSN 1536-3708 http://journals.lww.com/annalsplasticsurgery/toc/2014/08000 10.1097/SAP.0b013e318270704b
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD Surgery
spellingShingle RD Surgery
Halim, Ahmad Sukari
Ahmad Alwi, Akmal Azim
Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population
description Background: The use of internal mammary perforators (IMP) as recipient vessels in autologous free flap breast reconstruction has many additional benefits compared to the internal mammary or thoracodorsal vessels. Our goal was to analyze the characteristics of these vessels and to evaluate the reliability of using them in an Asian population. Methods: Thirty-five consecutive patients were prospectively studied between November 2000 and December 2010. Twelve patients underwent muscle-sparing-2 TRAM, and 23 had DIEP flap reconstructions. Results: IMP vessels were utilized in 29 patients (83%). Most (75%) of the vessels were located in the subcutaneous plane, and 85% were in the 2nd and 3rd intercostal spaces. There were significantly more usable IMP vessels in the immediate than in the delayed reconstructions (p=0.049). All the flaps in the study were successful despite one requiring emergency reexploration due to venous congestion. Conclusions: Most of the IMP vessels are small; however, they are still reliable and safe for use as recipient vessels in selected Asian patients. The majority are located in the subcutaneous plane, which further facilitates dissection and also reduces recipient-site morbidity.
format Article
author Halim, Ahmad Sukari
Ahmad Alwi, Akmal Azim
author_facet Halim, Ahmad Sukari
Ahmad Alwi, Akmal Azim
author_sort Halim, Ahmad Sukari
title Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population
title_short Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population
title_full Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population
title_fullStr Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population
title_full_unstemmed Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population
title_sort internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an asian population
publisher Lippincott Williams & Wilkins
publishDate 2014
url http://irep.iium.edu.my/48441/
http://irep.iium.edu.my/48441/
http://irep.iium.edu.my/48441/
http://irep.iium.edu.my/48441/4/48441.pdf
first_indexed 2023-09-18T21:08:43Z
last_indexed 2023-09-18T21:08:43Z
_version_ 1777411107798908928

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