유방 사분역절제술 후 즉각적인 광배근 피판술에서 장액종 형성 예방에 있어 누빔 봉합술(Quilting)의 효과

다국어 초록 (Multilingual Abstract)

Purpose: Latissimus dorsi myocutaneous flap (LDMCF) is a commonly used technique for breast reconstruction following breast-conserving surgery. However, this technique has a high incidence of donor site seroma. The aim of this study is to evaluate the effect of donor-site quilting on seroma formation.
Methods: A retrospective review of 95 patients who underwent immediate breast reconstruction with LDMCF from May of 2006 through February of 2007 was performed. Patients were divided into Group A, in which only a closed suction drain was used, and Group B, in which quilting and a closed suction drain were used. The outcome measures were age, body mass index (BMI), mastectomy volume, duration of drain, total volume of postoperative seroma, length of hospital stay, and incidence of postoperative aspiration.
Results: In Group B, the total amount of seroma, duration of drain, and length of hospital stay were significantly reduced (P＜0.05). However, the incidence of postoperative aspiration was not different between Group A and Group B (P=0.06).
Conclusion: The quilting technique reduces the volume of postoperative seroma and may help prevent of seroma after LDMCF.

목차 (Table of Contents)

• 서론
• 방법
• 결과
• 고찰
• 결론
• REFERENCES

참고문헌 (Reference)

1 McCarthy C, "Use of abdominal quilting sutures for seroma prevention in TRAM flap reconstruction: a prospective, controlled trial" 54 : 361-364, 2005

2 Kat CC, "The use of the latissimus dorsi musculocutaneous flap for immediate corresction of the deformity resulting from the breast conserving surgery" 52 : 99-103, 1999

3 Kulber DA, "The use of fibrin sealant in the prevention of seroma" 99 : 842-849, 1997

4 Skillman JM, "The future of breast surgery: a new subspeciality of oncoplastic breast surgeons?" 12 : 161-162, 2003

5 Hussien M, "The effect of radiotherapy on the use of immediate breast reconstruction" 30 : 490-494, 2004

6 Schwabegger A, "Seroma as a common donor site morbidity after harvesting the latissimus dorsi flap: observation on cause and prevention" 38 : 594-597, 1997

7 Reddick LP, "Seroma after latissimus dorsi myocutaneous flap for breast reconstruction" 85 : 826-, 1990

8 Daltrey I, "Randomized clinical trial of the effect of quilting latissimus dorsi flap donor site on seroma formation" 93 : 825-830, 2006

9 Daltrey I, "Randomized clinical trial of the effect of quilting latissimus dorsi flap donor site on seroma formation" 93 : 825-830, 2006

10 Nano MT, "Qualitative assessment of breast reconstruction in a specialist breast" 75 : 445-453, 2005

11 Rios JL, "Progressive tension sutures to prevent seroma formation after latissimus dorsi harvest" 112 : 1779-1783, 2003

12 Titley OG, "Preventing seroma in the latissimus dorsi donor site" 50 : 106-108, 1997

13 Toth BA, "Modified skin incisions for mastectomy: the need for plastic surgical input in preoperative planning" 87 : 1048-1053, 1991

14 Malata CM, "Immediate breast reconstruction after mastectomy for cancer" 87 : 1455-1472, 2000

15 Menke H, "Evolving concepts in breast reconstruction with latissimus dorsi flaps: results and follow-up of 121 consecutive patients" 47 : 107-114, 2001

16 Kuroi K, "Evidence-based risk factors for seroma formation in breast surgery" 36 : 197-206, 2006

17 Chang DW, "Effect of obesity on flap and donor-site complications in free transverse rectus abdominis myocutaneous flap breast reconstruction" 48 : 511-514, 2002

18 Clough KB, "Donor site sequelae after autologous breast reconstruction with an extended latissimus dorsi flap" 109 : 1904-1911, 2002

19 Kaur N, "Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer" 12 : 539-545, 2005

20 Quinn McGlothin TD, "Breast surgery as specialized practice" 190 : 264-268, 2005

21 Germann G, "Breast reconstruction with the extended latissimus dorsi flap" 97 : 519-526, 1996

22 Delay E, "Autologous latissimus breast reconstruction: a 3-year clinical experience with 100 patients" 102 : 1461-1478, 1998