| Ultrasonographic evaluation of the rectus abdominis muscle after breast reconstruction with the DIEP flap. | |
| | |
MedLine Citation:
|
PMID: 15838208 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Kim Alexander Tønseth; Anne Günther; Knut Brabrand; Ingemar Fogdestam; Bjørn Mikael Hokland |
Related Documents
:
|
7658968 - Secondary surgery following brachial plexus injuries. 8257468 - Cold preservation of enteric free flaps: an experimental study. 2672988 - Lower leg reconstruction using a sural fasciocutaneous flap. 17469438 - Neo-phalloplasty with re-innervated latissimus dorsi free flap: a functional study of a... 3209968 - The similarity of mitochondrial distribution in equine skeletal muscles of differing ox... 9368588 - The pathology of asthma. |
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 |
Affiliation:
|
Department of Plastic Surgery, Rikshospitalet University Hospital, N-0027 Oslo, Norway. kim.tonseth@rikshospitalet.no |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Atrophy Dissection / adverse effects Humans Rectus Abdominis / pathology, surgery*, ultrasonography* Surgical Flaps / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Use of the infusion pain pump following transverse rectus abdominis muscle flap breast reconstructio...
Next Document: Treatment of hypertrophic scars using a long-pulsed dye laser with cryogen-spray cooling.