BACKGROUND Optimal surgical outcomes in autogenous breast reconstruction require a balance between the reliability of older transverse rectus abdominis musculocutaneous (TRAM) flap techniques and the decreased donor-site morbidity of the newer deep inferior epigastric perforator (DIEP) flap techniques. This article presents an approach to autogenous breast reconstruction that uses principles of...

OBJECTIVE Previous abdominal wall surgery is viewed as a contraindication to abdominal free tissue transfer. We present two patients who underwent multiple abdominal liposuction procedures, followed by successful free deep inferior epigastric artery perforator flap. We review the literature pertaining to reliability of abdominal free flaps in those with previous abdominal surgery. METHODS Rev...

HYPOTHESES Vertical rectus abdominus myocutaneous flap reconstruction facilitates healing within the radiated pelvis and preserves the possibility of subsequent sexual function in patients with colorectal cancer who require partial or complete resection of the vagina. DESIGN A retrospective review of a consecutive series of patients. SETTING A tertiary referral center. PATIENTS All patien...

Correspondence Rare origin of the inferior epigastric artery from an anomalous medial circumflex femoral artery Mathes & Bostwick (1977) surgically manipulated the rectus abdominis myocutaneous flap to repair defects in the anterior abdominal wall. Subsequently this flap was used in breast reconstruction (Robbins, 1981 ; Hartrampf et al. 1982) as a donor for free-tissue transfer (Bunkis et al. ...

BACKGROUND AND PURPOSE The latissimus dorsi myocutaneous flap (LDMF) used to be the standard practice for breast reconstruction; however, with the increased use of tissue expanders and the development of the transverse rectus-abdominis myocutaneous flap for autologous tissue breast reconstruction, its use has decreased. To reassess the role of the LDMF in breast reconstruction, a prospective st...

Although advances in microsurgery have increased success rates of autologous breast reconstruction, microvascular thrombosis still remains a major concern as a cause of flap failure. At present, no evidence-based guidelines on pharmacological prevention of microvascular thrombosis exist. This study investigates the effect of acetylsalicylic acid on the incidence of microvascular complications i...