Abstract
After using various techniques with various results, Bostwick's principles for breast reconstruction were used in mastectomy cases and their early results are presented. The breast reconstructions were performed to 12 cases, of which eight patients had one or two risk factors and four had more. The double-pedicle technique was used in the former and vascular delay preceding double-pedicle technique was used in the latter. No vascular compromises, arterial or venous, were observed on the flaps in the acute phase and no fat necrosis ensued lately. All patients were satisfied with these principles and we did not observe any problems with the flaps. We have concluded that Bostwick's principles offered a reliable and minimal risk basis for breast reconstructive surgeons.
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Arnez AM, Bajec J, Bardsley AF, et al.: Experience with 50 free TRAM flap breast reconstructions. Plast Reconstr Surg 87:470, 1991
Berrino P, Santi P: Hemodynamic analysis of the TRAM: Applications to the “recharged” TRAM flap. Clin Plast Surg 21:233, 1994
Bostwick J III, Carlson GW: Reconstruction of the breast. Surg Oncol Clin N Am 6:71, 1997
Bostwick J III: Abdominal flap reconstruction. Plastic and reconstructive breast surgery. Quality Medical Publishing: St. Louis, p 981, 2000
Bostwick J III: Finishing touches. Plastic and reconstructive breast surgery. Quality Medical Publishing: St. Louis, p 1445, 2000
Bunkis J, Walton RL, Mathes S, et al.: Experience with the transverse lower rectus abdominis operation for breast reconstruction. Plast Reconstr Surg 72:819, 1983
Codner MA, Bostwick J III: The delayed TRAM flap. Clin Plast Surg 25:183, 1998
Grotting JC, Urist MM, Maddox WA: Conventional TRAM flap versus free microsurgical TRAM flap for immediate breast reconstruction. Plast Reconstr Surg 83:828, 1989
Harashina T, Sone K, Inoue T, et al.: Augmentation of circulation of pedicled transverse rectus abdominis musculocutaneous flaps by microvascular surgery. Br J Plast Surg 40:367, 1087
Hartrampf CR, Sheflan M, Black PW: Breast reconstruction following mastectomy with a transverse abdominal island flap. Anatomical and clinical observations. Plast Reconstr Surg 69:216, 1982
Hartrampf CR, Bennett GK: Autogenous tissue reconstruction in the mastectomy patient: A critical review of 300 patients. Ann Surg 205:508, 1987
Holstrom H: The free abdominoplasty flap and its use in breast reconstruction. Scand J Plast Reconstr Surg 13:423, 1979
Ischii CH, Bostwick J III, Raine TJ, et al.: Double-pedicle transverse rectus abdominis myocutaneous flap for unilateral breast and chest-wall reconstruction. Plast Reconstr Surg 76:901, 1985
Paige KT, Bostwick J III, Bried JT, Jones G: A comparison of morbidity from bilateral, unipedicled and unilateral, unipedicled TRAM flap breast reconstructions. Plast Reconstr Surg 101:1819, 1998
Restifo RJ, Ward BA, Scoutt LM, et al.: Timing, magnitude, and utility of surgical delay in the TRAM flap: II. Clinical studies. Plast Reconstr Surg 99:1217, 1997
Schusterman MA, Kroll SS, Weldon ME: Immediate breast reconstruction: Why the free TRAM over the conventional TRAM flap? Plast Reconstr Surg 90:25, 1992
Wagner DS, Michelow BJ, Hartrampf CR: Double-pedicle TRAM flap for unilateral breast reconstruction. Plast Reconstr Surg 88:987, 1991
Watterson PA, Bostwick J III, Hester TR, et al.: TRAM flap anatomy correlated with a 10-year clinical experience with 556 patients. Plast Reconstr Surg 95: 1185, 1995
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Yüksel, F., Ccelıköz, B. Double-Pedicle Tram Flap Breast Reconstruction: Following. Aesth. Plast. Surg. 26, 444–450 (2002). https://doi.org/10.1007/s00266-002-2029-3
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DOI: https://doi.org/10.1007/s00266-002-2029-3