INTERNAL MAMMARY PERFORATOR VESSELS AS RECIPIENT SITE FOR MICROSURGICAL BREAST RECONSTRUCTION: A COMPARATIVE HISTOMORPHOMETRIC ANALYSIS AND INCIDENCE OF DEGENERATIVE VASCULAR CHANGES

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMUNHOZ, Alexandre Mendonca
dc.contributor.authorISHIDA, Luis H.
dc.contributor.authorMONTAG, Eduardo
dc.contributor.authorSAITO, Fabio L.
dc.contributor.authorMENDES, Marcio
dc.contributor.authorALVES, Helio
dc.contributor.authorGEMPERLI, Rolf
dc.date.accessioned2014-09-30T14:36:55Z
dc.date.available2014-09-30T14:36:55Z
dc.date.issued2014
dc.description.abstractBackgroundIn microsurgical breast reconstruction, an adequate selection of recipient vessels is crucial for a successful outcome. Although the internal mammary (IM) vessels offer an attractive option, the internal mammary perforator (IMP) vessels are becoming a reliable alternative. The purpose of this study is to investigate the external diameters, lumen area, and atherosclerotic lesions changes of the IMP, IM, and deep inferior epigastric (DIE) vessels through quantitative and qualitative histomorphometric analysis. MethodsNinety-six vessels of bilateral IM, IMP, and DIE vessels from 16 fresh female cadavers were evaluated. Mean age was 54.065.7 years. External diameters, lumen area, and degenerative changes of the tunica intimae and media were analyzed by qualitative histomorphometric analysis. ResultsSeventy-one vessels (20 IM, 31 IMP, and 20 DIE vessels) were included in the final histological analysis. A statistically lower external diameters and lumen area were presented by the IMP. The DIE vessels showed a lower incidence (10%) of moderate and severe intimal layer degenerative changes (P=0.0589). The IMP and DIE vessels showed a lower incidence (9.4 and 25%, respectively) of major media layer degenerative changes (P=0.0001). No major arterial degenerative lesions were observed in the IMP arteries. ConclusionAlthough the IMP external diameters and lumen area were lower than the IM, the results of this study indicated that the tunica media layer in the IMP is less damaged than the other recipient vessels. The results of the comparative histological study permitted to describe additional advantages and disadvantages of using IMP as a recipient vessel for free flap breast reconstruction. (c) 2013 Wiley Periodicals, Inc. Microsurgery 34:217-223, 2014.
dc.description.indexMEDLINE
dc.identifier.citationMICROSURGERY, v.34, n.3, p.217-223, 2014
dc.identifier.doi10.1002/micr.22203
dc.identifier.eissn1098-2752
dc.identifier.issn0738-1085
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/7321
dc.language.isoeng
dc.publisherWILEY-BLACKWELL
dc.relation.ispartofMicrosurgery
dc.rightsrestrictedAccess
dc.rights.holderCopyright WILEY-BLACKWELL
dc.subject.otherfree tram
dc.subject.otherfree-flap
dc.subject.othermicrovascular reconstruction
dc.subject.otherrisk-factors
dc.subject.otherdiep flap
dc.subject.otherarteriosclerosis
dc.subject.otherdisease
dc.subject.othersurgery
dc.subject.othermen
dc.subject.wosSurgery
dc.titleINTERNAL MAMMARY PERFORATOR VESSELS AS RECIPIENT SITE FOR MICROSURGICAL BREAST RECONSTRUCTION: A COMPARATIVE HISTOMORPHOMETRIC ANALYSIS AND INCIDENCE OF DEGENERATIVE VASCULAR CHANGES
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalMUNHOZ, Alexandre Mendonca:Hosp Sirio Libanes, Div Plast Surg, BR-01239040 Sao Paulo, Brazil
hcfmusp.author.externalSAITO, Fabio L.:Univ Sao Paulo, Hosp Clin, Sao Paulo, Brazil
hcfmusp.author.externalMENDES, Marcio:Univ Sao Paulo, Dept Pathol, Sao Paulo, Brazil
hcfmusp.citation.scopus6
hcfmusp.contributor.author-fmusphcLUIS HENRIQUE ISHIDA
hcfmusp.contributor.author-fmusphcEDUARDO MONTAG
hcfmusp.contributor.author-fmusphcHELIO RICARDO NOGUEIRA ALVES
hcfmusp.contributor.author-fmusphcROLF GEMPERLI
hcfmusp.description.beginpage217
hcfmusp.description.endpage223
hcfmusp.description.issue3
hcfmusp.description.volume34
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-84895921031
hcfmusp.origem.wosWOS:000332325100008
hcfmusp.publisher.cityHOBOKEN
hcfmusp.publisher.countryUSA
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