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Date Published: 22/07/2024
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DOI: https://doi.org/10.51298/vmj.v540i3.10533
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Vol. 540 No. 3 (2024)
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Các bài báo
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Trần, V. D., Lâm, Q. A., Ngô, Q. H., & Nguyễn , T. T. T. (2024). EVALUATION OF BREAST RECONSTRUCTION USING DIEP OR TRAM FLAP AFTER MASTECTOMY AT CHO RAY HOSPITAL. Vietnam Medical Journal, 540(3). https://doi.org/10.51298/vmj.v540i3.10533

EVALUATION OF BREAST RECONSTRUCTION USING DIEP OR TRAM FLAP AFTER MASTECTOMY AT CHO RAY HOSPITAL

Văn Dương Trần, Quang An Lâm, Quốc Hưng Ngô, Thị Thu Trang Nguyễn

Main Article Content

Abstract

Breast reconstruction after breast cancer removal is a necessity for many patients with breast cancer, especially young patients. As socio-economic conditions develop, the demand for breast aesthetics after being removed due to cancer is increasing to improve the quality of life and aesthetics of patients. Objectives: evaluate using TRAM and DIEP flap for breast reconstruction after mastectomy due to breast cancer removal at Cho Ray Hospital. Patients and study’s method: retrospective cross-sectional description of 28 cases of post-mastectomy patients reconstructed with TRAM flaps or DIEP flaps between 01/2014 and 12/2023 at Cho Ray Hospital. Results: the average age of the study sample was 45.9±8.9 years, with 32.1% of patients having a BMI of >25. Of the 28 cases of breast reconstruction, 18 were instantly reconstructed and 10 were delayed reconstructed. There were 18 cases using DIEP flaps (64.3%) and 10 cases reconstructed using TRAM flaps (35.7%). There were 2 cases of partial flap necrosis and 1 case of total flap necrosis. After surgery, the aesthetic classification of breasts was good 57.2%, moderate 32.1%, average 7.1% and poor 3.6%. The high and moderate satisfaction rates were 28.6% and 42.9%, respectively. Conclusion: breast reconstruction using TRAM and DIEP flap after breast cancer removal improve breast aesthetic function with high patient satisfaction rate.

Article Details

Keywords

breast reconstruction, DIEP flap, TRAM flap

References

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