Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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The Value of Preoperative Multidetector Computed Tomography for Deep Inferior Epigastric Artery Perforator Free Flap

심하복벽동맥 천공지 유리피판에서 술전 MDCT의 유용성

  • Heo, Chan Yeong (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Hong, Ki Yong (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Yoon, Chang Jin (Department of Radiology, Seoul National University College of Medicine) ;
  • Eun, Seok Chan (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Baek, Rong Min (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Minn, Kyung Won (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
  • 허찬영 (서울대학교 의과대학 성형외과학교실, 성형재건연구소) ;
  • 홍기용 (서울대학교 의과대학 성형외과학교실, 성형재건연구소) ;
  • 윤창진 (서울대학교 의과대학 영상의학교실) ;
  • 은석찬 (서울대학교 의과대학 성형외과학교실, 성형재건연구소) ;
  • 백롱민 (서울대학교 의과대학 성형외과학교실, 성형재건연구소) ;
  • 민경원 (서울대학교 의과대학 성형외과학교실, 성형재건연구소)
  • Published : 2009.03.15
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Abstract

Purpose: Autologous breast reconstruction with abdominal tissue is one of the best options after mastectomy. In a free transverse rectus abdominis myocutaneous(TRAM) or deep inferior epigastric artery perforator(DIEP) flap, a preoperative evaluation of the precise location of perforating vessels and vascular run - off systems is required. The objective of this report is to demonstrate the usefulness of multidetector computed tomography(MDCT) in the preoperative planning of patients undergoing breast reconstruction with abdominal flap. Methods: From June 2006 to January 2008, 28 patients underwent MDCT evaluation before breast reconstruction. All subjects were females with an age range of 30 to 55 years. The CT scan was performed using a 64 - slice MDCT scanner(Brilliance 64; Philips Medical Systems, Best, Netherlands). Results: One perforator or two major perforators were marked on image in good relation with a hand - held Doppler examination and intraoperative findings. All vascular run - off systems were cleared before operation. Conclusion: Preoperative evaluation of perforator arteries with MDCT angiography is beneficial in patients undergoing breast reconstruction. This technique provides a noninvasive approach of the vascular anatomy of the entire anterior abdominal wall.

Keywords

References

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