RESUMO
Flap neovascularisation is generally believed to make free skin-containing flaps independent of their axial pedicle blood supply. A case of DIEP-flap failure 3 years after transfer is presented in a breast reconstruction patient in whom a lateral breast reduction for symmetry improvement was performed. Causative factors in this patient were the division of the flap pedicle during lateral breast reduction and smoking in the postoperative period. A review of literature is presented and highlights the uniqueness of this case.
Assuntos
Rejeição de Enxerto/patologia , Mamoplastia/métodos , Retalhos Cirúrgicos/irrigação sanguínea , Feminino , Humanos , Mastectomia , Pessoa de Meia-Idade , Neovascularização Fisiológica , Fumar/efeitos adversos , Retalhos Cirúrgicos/patologiaRESUMO
Six hundred and ninety-four patients with 993 anomalies of the upper limbs were classified according to the classification of Swanson et al. (1983). The data from these patients were compared with previous studies, and similar discrepancies were found. One explanation for these discrepancies is a lack of uniformity in the classification of Swanson et al., which may be caused by out-dated knowledge of the pathogenesis of congenital limb anomalies. Therefore, it seems necessary to describe the anomalies instead of the diagnoses. A descriptive method is being validated in our outpatient department that records all anomalies of the upper limb.
