Internal mammary vessels as recipients for free TRAM breast reconstruction: aesthetic and functional considerations.

摘要: The utilisation of the internal mammary vessels (IMVs) as recipient for free TRAM reconstruction breast is well established. To gain adequate access to IMVs, a medial segment ipsilateral third costal cartilage usually excised. Concern has been expressed regarding potential complications specific use this site, including pneumothorax, intercostal neuralgia, chest wall herniae and contour defects. We present retrospective study our experience with reconstruction, using IMVs vessels, ascertain incidence such complications. Twenty-five consecutive cases were studied. clinical notes analysed information immediate late All patients recalled underwent assessment examination by authors. There no haemo- or pneumothorax on side reconstruction. complaints pain suggestive neuralgia. No discernible defects at site rib excision found thoracic demonstrated. suggest that can safely be used recipients breasts added aesthetic functional morbidity.