Document Detail

Ultrasonographic evaluation of the rectus abdominis muscle after breast reconstruction with the DIEP flap.
MedLine Citation:
PMID:  15838208     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to evaluate whether the dissection of the vascular pedicle of the deep inferior epigastric perforator (DIEP) flap could induce secondary muscle atrophy. Evaluation of the rectus abdominis muscle was performed using ultrasonography, and the muscle thickness was measured as an expression of muscle substance. This was performed at 4 levels: below the xiphoid process, at the umbilicus level, above the symphysis, and between the 2 last mentioned (central zone). The results were expressed as the ratio of the muscle thickness on the operated side where dissection of the vascular pedicle was performed to the thickness of the contralateral not operated muscle. Thirteen patients were included with a mean follow up of 20 months (range, 7-42 months). The combined measurements showed that the thickness of the muscle as a whole was significantly reduced on the operated side compared with the opposite side. Broken down to the specific levels, the greatest reduction in thickness, approximately 10%, was found at the xiphoid process and above the symphysis. We conclude that performing the dissection of the vascular pedicle of the DIEP flap gives a small but significant degree of muscular atrophy.
Kim Alexander Tønseth; Anne Günther; Knut Brabrand; Ingemar Fogdestam; Bjørn Mikael Hokland
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  54     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-19     Completed Date:  2005-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  483-6     Citation Subset:  IM    
Department of Plastic Surgery, Rikshospitalet University Hospital, N-0027 Oslo, Norway.
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MeSH Terms
Dissection / adverse effects
Rectus Abdominis / pathology,  surgery*,  ultrasonography*
Surgical Flaps / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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