Controlled muscle division during flap surgery: a simple technique

Controlled muscle division during flap surgery: a simple technique Tissue transfer for breast reconstruction surgery using latissimus dorsi and transverse rectus abdominis myocutaneous flaps requires a degree of muscle cutting. Whether free or pedicled flaps are performed, muscles are divided and cauterised to obtain the desired tissue volume. Standard techniques of muscle cutting include monopolar or bipolar diathermy, whose electrical impulses mimic action potentials causing excessive muscle twitching. This can lead to irregular planes of dissection, potential damage to delicate perforating vessels, and difficult haemostasis. We propose localised infiltration of 0.25% bupivicaine into the muscle prior to diathermy division. This technique reliably prevents excess muscle twitching and permits controlled dissection in the desired plane. Comparative video clips of this technique are available as supplementary material. Although the ideal method for tissue transfer in breast reconstruction is to avoid muscle cutting altogether by using free tissue transfer of perforator flaps, in units where these methods are not standard it may become necessary to convert to a muscle-sparing or pedicled-flap technique, thereby necessitating a degree of muscle cutting. Whether division of muscle is preferable or not, it is occasionally unavoidable, and our proposed technique will make the process of muscle division simpler and more controlled. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Controlled muscle division during flap surgery: a simple technique

Loading next page...
 
/lp/springer_journal/controlled-muscle-division-during-flap-surgery-a-simple-technique-Fa6o6jDR59
Publisher
Springer-Verlag
Copyright
Copyright © 2010 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-010-0471-z
Publisher site
See Article on Publisher Site

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial