DIEP收获中腹直肌的横向缝合包括多个穿支：技术说明。

IF 0.5 4区医学 Q4 SURGERY

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-07-25 DOI:10.1016/j.anplas.2025.04.004

A Auque, A Wessels, F Bodin

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引用次数: 0

摘要

显微外科乳房重建使用深下腹部穿支皮瓣（DIEP）目前被认为是自体重建的金标准。在某些情况下，腹直肌的部分切片是必要的，包括几个穿支，使皮瓣更可靠。本技术笔记提出了一种优化的方法，横向缝合腹直肌后部分横断。技术说明：在待切割的肌带周围作双横向编织缝合，然后横向切开肌带。切除皮瓣后，两条直肌条通过单独的跨肌缝线连接。结论：腹直肌部分横断后横向缝合是一种允许多个穿支包括在DIEP收获的方法，同时限制了腹壁并发症。

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Transversal suture of the rectus abdominis muscle in DIEP harvesting to include more than one perforator: Technical note.

Introduction: Microsurgical breast reconstruction using a deep inferior epigastric perforator flap (DIEP) is currently considered the gold standard in autologous reconstruction. In some case, partial sectioning of the rectus abdominis muscle is necessary to include several perforators and make the flap more reliable. This technical note presents an optimized approach to transverse suturing of the rectus abdominis muscle after partial transection.

Technical note: A double transverse braided suture is made around the muscle band to be cut then the muscle strip is sectioned transversely. After weaning the flap, the two resulting strips of rectus muscle are joined by separate transmuscular stitches.

Conclusion: Transverse suturing of the rectus abdominis muscle after partial transection is a method that allows several perforators to be included in DIEP harvest, while limiting parietal complications.

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来源期刊

Annales De Chirurgie Plastique Esthetique 医学-外科

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

44 days

期刊介绍： Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés. Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction. Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.