Donor-site morbidity after pedicled TRAM breast reconstruction: a comparison of two different types of mesh.

摘要: Many different approaches have been used to minimize the risk of bulge or hernia formation when using autologous abdominal tissue for breast reconstruction. Studies shown that further reinforcement wall a mesh may decrease complication rate.The current study included 40 consecutive patients having unilateral reconstruction with pedicled transverse rectus abdominus musculocutaneous flap. The defect in fascia was closed primarily and reinforced Prolene (Ethicon), n = 20, self-fixating Parietex ProGrip (Covidien), 20. were examined at an outpatient consultation, minimum follow-up 1 year questioned about donor-site symptoms standardized questionnaire.Of 20 group, 2 (10%) developed bulging, 11 (55%) bulging (P 0.006). In both most reported continued time (70% 80%, respectively); 15% 30%, respectively, influenced their daily physical activities (not significant difference). All but patient our being very happy would done it again, had they known what did follow-up.We conclude self-gripping properties are not sufficient withstanding tension donor site after musculocutaneous-flap harvest do recommend without fixating sutures this procedure.