Reconstrução mamária por retalho musculocutâneo do latíssimo do dorso e retalho musculocutâneo transverso do reto do abdome monopediculado
Palavras-chave:
Reconstrução, Mama, Latíssimo, TRAM, MonopediculadoResumo
Após Halstead instituir a mastectomia como tratamento para o câncer de mama em 1894, melhores técnicas de reconstrução das mamas são pesquisadas pela comunidade médica. Atualmente,
existem diversas técnicas disponíveis para a reconstrução da mama e entre as mais utilizadas há
o retalho musculocutâneo do latíssimo do dorso e o retalho musculocutâneo monopediculado
transverso do reto do abdome. Por meio de uma revisão literária, foram discutidas as principais
vantagens e desvantagens das duas técnicas, assim como a melhor indicação cirúrgica. O retalho
musculocutâneo monopediculado transverso do reto do abdome mostrou uma ligeira superioridade, levando em consideração o resultado estético final, complicações e satisfação das pacientes. Ao
final, as duas técnicas demonstram-se confiáveis e o resultado final, extremamente dependente de
uma boa indicação cirúrgica.
Downloads
Referências
1.
2.
3.
Halstead WS. The results of operation for the cure of cancer of the
breast performed at Johns Hopkings Hospital from June 1889 to
January 1894. Ann Surg. 1894;20:497.
Tanzini I. Sopra il mionuovo di amputazione della mamella. Daz
Med Ital. 1906:57:141.
Drever JM. The epigastric island flap. Plast Reconstr Surg. 1977;
59:14.
4. Hartrampf CR, Scheflan M, Black PW. Breast reconstruction with
transverse abdominal flap. Plast Reconstr Surg. 1982;69:216.
5. Gandolfo EA. Breast reconstruction with a lower abdominal myocutaneous flap. Br J Plast Surg. 1982;25:452.
6. Levantamento avalia situação do câncer no Brasil. Ministério da
Saúde. Brasília; 2007. Disponível em: http://portal.saude.gov.br/
portal/saude/visualizar_texto.cfm?idtxt=25441.
7. Williams PL, Dyson M, Warwick R. Gray Anatomia. 37a ed. Rio
de Janeiro: Guanabara Koogan; 1995. v.2, p. 1361.
8. Bostwick IIIJ, Scheflan M. The latissimus dorsi musculocutaneos
flap: a one-stage breast reconstruction. Clin Plast Surg. 1980;7:71.
9. Moscona RA, Ramon Y, Toledano H, Barzilay G. Use of synthetic
mesh for the entire abdominal wall after TRAM flap transfer. Plast
Reconstr Surg. 1998;101(3):706.
10. Kronowitz SJ, Hunt KK, Kuer HM, Babiera G, Mcneese MD, Buchholz TA, et al. Delayed-immediate breast reconstruction. Plast
Reconstr Surg. 2004;113:1617.
11. Van Diest PJ, Torrenga H, Borgstein PJ. Reliability of intraoperative frozen section and cytological investigation of sentinel lymph
nodes in breast cancer. Histopathology. 1999;35:14.
12. Wiser MR, Montgomery LL, Susnik B, Tan LK, Borgen PI, Cody
HS. Is routine intraoperative frozen-section examination of sentinel lymphnode for breast cancer worthwhile? Ann Surg Oncol.
2000;7:651.13. Turner RR, Hansen NM, Stern SL, Giuliano AE. Intraoperative
examination of setinel lymph node for breast carcinoma staging.
Am J Clin Pathol. 1999;112:627.
14. Harris JR, Halpin-Murphy P, Mcneese M, Mendenhall NP, Morrow M, Robert NJ. Consensus statement on postmastectomy radiation therapy. Int J Radiat Oncol Biol Phys. 1999;15:989.
15. Ragaz J, Jackson SM, Le N. Adjuvant radiotherapy and chemotherapy in node-positive premenopausal women with breast cancer. N Engl J Med. 1997;337:956.
16. Overgaard M, Hansen PS, Overgaard J, et al. Post-operative radiotherapy in high-risk premenopausal women with breast cancer who
receive adjuvant chemotherapy. N Engl J Med. 1997;337:949.
17. Truong PT, Olivotto IA, Kader HA, Panades M, Speers CH,
Berthelet E. Selecting breast cancer patients with T1-T2 tumors
and one-three positive axillary nodes at high postmastectomy locoregional recurrence risk for adjuvant radiotherapy. Int J Radiat
Oncol Biol Phys. 2005;61:1337.
18. Buchholz TA, Kronowitz SJ, Kuerer HM. Immediate breast reconstruction after skin-sparing mastectomy for the treatment of
advanced breast cancer: radiation oncology considerations. Ann
Surg Oncol. 2002;9:820.
19. Miller MJ. Immediate breast reconstruction. Clin Plast Surg. 1998:25:145.
20. Alderman AD, Wilkins EG, Lowery JC, Kim M, Davis JA. Determinants of patient satisfaction in postmastectomy breast reconstruction. Plast Reconstr Surg. 2000;106:769.
21. Andrade WN, Baxter N, Semple JL. Clinical determinants of patient satisfaction with breast reconstruction. Plast Reconstr Surg. 2001;107:46.
22. Wilkens EG, Cederna PS, Lowery JC. Prostective analysis of psychosocial outcomes in breast reconstruction: one year postoperative results from the Michigan Breast Reconstruction Outcomes
Study. Plast Reconstr Surg. 2000;106:1014.
23. Hammond DC, Simon AM, Khuthaila DK, Hoberman L, Sohn S.
Latissimus dorsi flap salvage of partially failed TRAM Alap breast
reconstruction. Plast Reconstr Surg. 2007;120(2):382.
24. Pinsolle V, Grinfeder C, Mathoulin-Pelissier S, Faucher A. Complications analysis of 266 immediate breast reconstructions. J Plast
Reconstr Aesthet Surg. 2006;59(10):1017.
25. Maxwell GP, Clugston PA, Gingrass MK, Azurin D, Fisher J.
Ipsilateral pedicled TRAM flaps: The safer alternative? Plast Reconstruc Surg. 2000;105(1):77.
26. Tribondeau P, Soffray F. Breast reconstruction with pedicled
TRAM flap (a retrospective study of 115 consecutive cases). Ann
Chir Plast Esthet. 2007:10:412.
27 Petit JY, Rietjens M, Ferreira MAR. Abdominal sequelae after
pedicled TRAM flap breast reconstruction. Plast Reconstr Surg. 1997;99(3):723.
28. Saulis AS, Mustoe TA, Fine NA. A retrospective analysis of patient
satisfaction with immediate postmastectomy breast reconstruction: comparison of three common procedures. Plast Reconstr
Surg. 2007;119(6):1669.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2026 Eduardo Willian Pasquarelli, Sidney Mamoru Keira, Ivone da Silva Duarte

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.






