Evaluation of Complications Associated with Flap/Pedicle Inset Techniques for Unilateral Breast Reconstruction Utilizing Dual Transverse Upper Gracilis (TUG) or Profunda Artery Perforator (PAP) Flaps.
نویسندگان
چکیده
INTRODUCTION: Patients with large breasts are often the most difficult to reconstruct utilizing free tissue transfer after mastectomy. This is especially true when suitable abdominal tissue is unavailable. These subjects often require two simultaneous free flaps to provide adequate tissue. 1,2 This study provides a review of our experience and lessons learned utilizing unilateral dual free tissue transfer with transverse upper gracilis (TUG) or profunda artery perforator (PAP) flaps.
منابع مشابه
Abstract: Applications of the Combined Transverse Upper Gracilis and Profunda Artery Perforator (TUGPAP) Flap
inTRoDuCTion: The transverse upper gracilis (TUG) and the profunda artery perforator (PAP) flaps have been described for breast and perineum reconstruction. However, the abdomen is considered one of the primary donor sites to reconstruct these areas. However, when abdominal tissue is not available, other donor sites such as the thighs or buttocks should be considered. The aim of this study is t...
متن کاملBreast reconstruction with the profunda artery perforator flap.
BACKGROUND The use of perforator flaps has allowed for the transfer of large amounts of soft tissue with decreased morbidity. For breast reconstruction, the deep inferior epigastric perforator flap, the superior and inferior gluteal artery perforator flaps, and the transverse upper gracilis flap are all options. The authors present an alternative source using posterior thigh soft tissue based o...
متن کاملAbstract: Risk Stratification of Major Complications After Outpatient Abdominoplasty or Panniculectomy
inTRoDuCTion: The transverse upper gracilis (TUG) and the profunda artery perforator (PAP) flaps have been described for breast and perineum reconstruction. However, the abdomen is considered one of the primary donor sites to reconstruct these areas. However, when abdominal tissue is not available, other donor sites such as the thighs or buttocks should be considered. The aim of this study is t...
متن کاملEssential elements of the preoperative breast reconstruction evaluation.
A plethora of options exist for breast reconstruction and preoperative evaluation must be thorough to lead to a successful outcome. We review multiple components of the preoperative assessment including the patient's history, goals, imaging, and key elements of the physical exam. Consideration for tumor biology, staging, need or response to chemotherapy or radiation therapy is important in deci...
متن کاملThe Profunda Artery Perforator Flap: Investigating the Perforasome Using Three-Dimensional Computed Tomographic Angiography.
BACKGROUND The profunda artery perforator flap has been emerging as an alternative method of autologous breast reconstruction. This flap uses upper posterior thigh tissue. The profunda artery perforator perforasome is investigated using three-dimensional computed tomographic angiography. METHODS Ten cadaveric thighs were dissected centered over the profunda artery perforator. The perforator w...
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ورودعنوان ژورنال:
- Plastic and reconstructive surgery
دوره 136 4 Suppl شماره
صفحات -
تاریخ انتشار 2015