Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 5 , Pages 519-523 , May 2007

Abdominal strength after breast reconstruction using a free abdominal flap

  • Christian T. Bonde

      Affiliations

    • Department of Plastic Surgery and Burns Unit, Center of Head and Orthopedics, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark
    • Corresponding Author InformationCorresponding author. Tel.: +45 35458963, +45 32542333 (private); fax: +45 35452667.
    • ,
  • Hans Lund

      Affiliations

    • Parker Institute, Frederiksberg Hospital, DK-2000 Frederiksberg, Denmark
    • ,
  • Marie Fridberg

      Affiliations

    • Department of Plastic Surgery and Burns Unit, Center of Head and Orthopedics, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark
    • ,
  • Bente Danneskiold-Samsoe

      Affiliations

    • Parker Institute, Frederiksberg Hospital, DK-2000 Frederiksberg, Denmark
    • ,
  • Jens J. Elberg

      Affiliations

    • Department of Plastic Surgery and Burns Unit, Center of Head and Orthopedics, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark

Received 29 May 2006 ,Accepted 22 July 2006.

References 

  1. Schusterman MA, Kroll SS, Miller MJ, et al. The free transverse rectus abdominis musculocutaneous flap for breast reconstruction: one center's experience with 211 consecutive cases. Ann Plast Surg. 1994;32:234–241
  2. Nieminen T, Asko-Seljavaara S, Suominen E, et al. Free microvascular tram flaps: report of 185 breast reconstructions. Scand J Plast Reconstr Surg Hand Surg. 1999;33:295–300
  3. Kroll SS, Schusterman MA, Reece GP, et al. Abdominal wall strength, bulging, and hernia after tram flap breast reconstruction. Plast Reconstr Surg. 1995;96:616–619
  4. Galli A, Adami M, Berrino P, et al. Long-term evaluation of the abdominal wall competence after total and selective harvesting of the rectus abdominis muscle. Ann Plast Surg. 1992;28:409–413
  5. Nahabedian MY, Momen B, Galdino G, et al. Breast reconstruction with the free TRAM or DIEP flap: patient selection, choice of flap, and outcome. Plast Reconstr Surg. 2002;110:466–475
  6. Nahabedian MY, Dooley W, Singh N, et al. Contour abnormalities of the abdomen after breast reconstruction with abdominal flaps: the role of muscle preservation. Plast Reconstr Surg. 2002;109:91–101
  7. Allen RJ, Treece P. Deep inferior epigastric perforator flap for breast reconstruction. Ann Plast Surg. 1994;32:32–38
  8. Blondeel PN. One hundred free DIEP flap breast reconstructions: a personal experience. Br J Plast Surg. 1999;52:104–111
  9. Blondeel PN, Boeckx WD. Refinements in free flap breast reconstruction: the free bilateral deep inferior epigastric perforator flap anastomosed to the internal mammary artery. Br J Plast Surg. 1994;47:495–501
  10. Blondeel N, Vanderstraeten GG, Monstrey SJ, et al. The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction. Br J Plast Surg. 1997;50:322–330
  11. Kroll SS. Fat necrosis in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps. Plast Reconstr Surg. 2000;106:576–583
  12. Futter CM, Webster MH, Hagen S, et al. A retrospective comparison of abdominal muscle strength following breast reconstruction with a free TRAM or DIEP flap. Br J Plast Surg. 2000;53:578–583
  13. Nahabedian MY, Tsangaris T, Momen B. Breast reconstruction with the DIEP flap or the muscle-sparing (MS-2) free TRAM flap: is there a difference?. Plast Reconstr Surg. 2005;115:436–444
  14. Mizgala CL, Hartrampf CR, Bennett GK. Assessment of the abdominal wall after pedicled TRAM flap surgery: 5- to 7-year follow-up of 150 consecutive patients. Plast Reconstr Surg. 1994;93:988–1002
  15. Dulin WA, Avila RA, Verheyden CN, et al. Evaluation of abdominal wall strength after TRAM flap surgery. Plast Reconstr Surg. 2004;113:1662–1665
  16. Arnez ZM, Khan U, Pogorelec D, et al. Rational selection of flaps from the abdomen in breast reconstruction to reduce donor site morbidity. Br J Plast Surg. 1999;52:351–354
  17. Nahabedian MY, Momen B. Lower abdominal bulge after deep inferior epigastric perforator flap (DIEP) breast reconstruction. Ann Plast Surg. 2005;54:124–129
  18. Bonde CT, Christensen DE, Elberg JJ. Ten years' experience of free flaps for breast reconstruction in a Danish microsurgical centre: an audit. Scand J Plast Reconstr Surg Hand Surg. 2006;40:8–12
  19. Newton M, Waddell G. Trunk strength testing with iso-machines. Part 1: review of a decade of scientific evidence. Spine. June 1, 1993;18:801–811

☆ Presented at the 2006 Annual Scientific meeting of the American Society for Reconstructive Microsurgery, Loews Ventana Canyon Resort, Tucson, AZ, USA. January 14–17, 2006.

PII: S1748-6815(06)00525-0

doi: 10.1016/j.bjps.2006.07.003

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 5 , Pages 519-523 , May 2007

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