Brystrekonstruktion med autologt vaev. Status og perspektiver
Engelsk titel: Breast reconstruction using autogenous tissue. Status and perspectives
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Författare:
Bonde CT
;
Elberg JJ
Email: bonde@rh.dk
Språk: Dan
Antal referenser: 10
Dokumenttyp:
Artikel
UI-nummer: 05051688
Sammanfattning
Breast reconstruction using autogenous tissue is a standard procedure today as an alternative to implants. Pedicle-based flaps are being replaced by free flaps due to their better results. Reconstruction can occur at the time of the mastectomy or as a delayed secondary procedure. The TRAM flap has been the golden standard, but the DIEP flap has been developed as a superior alternative. The difficulty is to secure sufficient perfusion of the flap. We have very limited knowledge of the physiological factors that determine flap perfusion, and future research into the haemodynamic mechanisms governing perfusion in free flaps could improve the treatment.