Haddad TJL ,Priego BR, Silva AAI, Iruegas MV

Language: Spanish
References: 19
Page: 72-77
PDF size: 212.99 Kb.

ABSTRACT

The Stewart Treves Syndrome is known as secondary lymphedema by mastectomy caused by breast cancer and axillary dissection. None of the current surgical techniques offer a cure for this syndrome. The omentum has good vascularity and it is ideal to treat lymphedema restoring lymphatic drainage. Microsurgical transfer of the great omentum for the treatment of lymphedema together with a TRAM (Transverse Rectus Abdominal Muscle) flap was carried out for breast reconstruction in a patient with mastectomy due to breast cancer. Measurements of the limb circumference of the affected area pre and post surgery were made and compared. Decrease in the limb circumference of the affected area by lymphedema was accomplished. No operative or postoperative complications due to the TRAM or by omentum free flap were observed. The omentum free flap made absorption and transport of the lymphatic fluid easy and resulted in a decrease of the lymphedema in the affected area due to chronic lymphedema in this patient. The omentum free flap can be considered safe and an alternative in the treatment of chronic lymphedema. This is the first report where TRAM is used as transport of a microsurgical flap.

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