Document Detail

Use of the tabbed expander in latissimus dorsi breast reconstruction.
MedLine Citation:
PMID:  23350739     Owner:  NLM     Status:  Publisher    
Abstract Latissimus dorsi (LD) myocutaneous flap breast reconstruction with a tissue expander/implant is a post-mastectomy option often used as a salvage procedure for a failed tissue expander (TE). The patient is traditionally placed in the lateral decubitus position for flap dissection and is re-prepped and re-draped in the supine position for placement of the tissue expander. A new generation of anatomically-shaped, tabbed tissue expanders are increasingly being used in place of traditional untabbed expanders. The innovative suture tabs allow for more predictable and controlled expander placement while the patient is in the lateral decubitus position, eliminating the need to reposition the patient intraoperatively. The objective of this study was to evaluate the use of tabbed tissue expanders in latissimus dorsi breast reconstruction, with respect to total operative time, complication rates, and aesthetic outcomes. The outcomes of 34 LD breast reconstruction procedures with tissue expanders were evaluated. Eight patients received tabbed tissue expanders with no position change, while 26 patients underwent an intraoperative position change. Demographic information, total operative time, and follow-up complication data were collected. Aesthetic outcomes were evaluated by three blinded individuals using a validated scoring scale. The mean operative time for procedures with no position change was 107 minutes. The mean operative time for position change cohort was 207 minutes. There was no statistical difference in complication rates or aesthetic outcomes between the two groups. In conclusion, tabbed tissue expanders decrease operative time by eliminating the need for an intraoperative position change without influencing complication rates while maintaining equivalent aesthetic outcomes.
Madeleine J Gust; Khang T Nguyen; Elliot M Hirsch; Caitlin M Connor; Armando Davila; Vinay Rawlani; John Y S Kim
Related Documents :
23119779 - Neurofibroma of infratemporal fossa.
25027279 - Treatment of urological complications in more than 1,000 kidney transplantations: the r...
24585909 - Technique for delivering large tumors in video-assisted thoracoscopic lobectomy.
25064429 - Differences in three-dimensional soft tissue changes after upper, lower, or both jaw or...
23219079 - The safety and efficacy of trans-baffle puncture to enable catheter ablation of atrial ...
21897259 - Management of urogenital trauma: state of the art.
18982149 - The feasibility of single port laparoscopic cholecystectomy: a pilot study of 20 cases.
12002209 - Anterior bone block: treatment of calcaneus deformity after failed soft-tissue operations.
17447639 - Carbon dioxide laser treatment of bartholin's gland cyst.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-28
Journal Detail:
Title:  Journal of plastic surgery and hand surgery     Volume:  -     ISSN:  2000-6764     ISO Abbreviation:  J Plast Surg Hand Surg     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101534130     Medline TA:  J Plast Surg Hand Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Division of Plastic and Reconstructive Surgery, Northwestern University, Feinberg School of Medicine , Chicago, IL , USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  The weave technique for nipple reconstruction.
Next Document:  Immediate reconstruction of the chest wall by latissimus dorsi and vertical rectus abdominis musculo...