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Date Published: 21/04/2025
Abstract Views: 76
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DOI: https://doi.org/10.51298/vmj.v549i1.13535
Issue
Vol. 549 No. 1 (2025)
Section
Các bài báo
How to Cite
Nguyễn Công, H., Lê Hồng, Q., Trịnh Lê, H., & Hoàng Anh, D. (2025). STUDY ON COMPLICATIONS AND AFFECTING FACTORS IN WOMEN UNDERWENT BREAST RECONSTRUCTION WITH TRAM FLAP. Vietnam Medical Journal, 549(1). https://doi.org/10.51298/vmj.v549i1.13535

STUDY ON COMPLICATIONS AND AFFECTING FACTORS IN WOMEN UNDERWENT BREAST RECONSTRUCTION WITH TRAM FLAP

Huy Nguyễn Công, Quang Lê Hồng, Huy Trịnh Lê, Dũng Hoàng Anh

Main Article Content

Abstract

Objective: Analyze complications and high-risk factors for complications in Vietnamese breast cancer patients who underwent mastectomy and breast reconstruction with TRAM flap. Methods: Cross-sectional study based on 221 breast cancer patients surgically treated at K hospital from 2018 to 2024. The frequency and proportion of each complication at the reconstructed breast and donor site were recorded. Analyze the effect of risk factors on complication rates. Results: The overall complication rate was 34.4%, 30.8% of patients had reconstructed breast complications and 12.2% had complications at the donor site. Seroma and flap fat necrosis were the most common complications. The complication rate significantly increased in high BMI patients, reconstructed breast volume above 400ml, and in patients treated with radiation therapy. Conclusions: breast reconstruction with TRAM flap is safe for breast cancer patients. The high-risk factors for complications include obesity, large breasts and radiotherapy.

Article Details

Keywords

breast reconstruction, tram flap, complication

References

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