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| Format: | Artículo científico |
| Language: | es |
| Published: |
Sociedad de Cirujanos de Chile
2010
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| Online Access: | https://www.redalyc.org/articulo.oa?id=345531944004 |
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Table of Contents:
- Utilidad de la angioresonancia en la planificación preoperatoria de reconstrucción mamaria mediante colgajos libres abdominales DIEP, SIEA y TRAM DIEGO POLANCO M. JOSÉ FERNÁNDEZ-CAÑAMAQUE R. ISABEL ORTEGA C. ERNESTO CASTILLO G. Medicina MR Angiography free fl aps breast reconstruction Mammary reconstruction after surgery for breast cancer can be performed with free abdominal fl aps such as DIEP (deep inferior epigastric perforator), TRAM (transverse rectus abdominis musculocutaneus) y SIEA (super fi cial inferior epigastric artery). Aim: To report our experience with the use of magnetic resonance angiography to plan mammary reconstruction. Material and Methods: The super- fi cial epigastric vascular axis and the connections between the super fi cial and deep axis were explored with magnetic resonance angiography in 25 patients aged 32 to 63 years. Dominant perforating arteries (those with the greater caliber and predominant distribution through adipose tissue), were localized. Their intramuscular trajectory and that of the deep epigastric artery were also studied. The fi ndings of magnetic resonance were compared with those of intraoperative Doppler ultrasound examination dissection during operation. Results: There was a 100% concordance between magnetic resonance fi ndings and those of intraoperative Doppler. However in two patients a perforating artery with an adequate caliber was missed with magnetic resonance. Conclusions: Magnetic resonance angiography is useful in the planning of mammary reconstruction with epigastric fl aps. 2010 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531944004 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.5 Vol.62