BACKGROUND For some patients seeking autologous breast reconstruction, there may be insufficient abdominal skin and soft tissue to reconstruct an adequately sized breast. Perfusion from a single-pedicle deep inferior epigastric perforator artery flap has a high degree of variability across the midline, and this further limits perfusion. We have found that bipedicle-conjoined abdominal perforato...

BACKGROUND Transforaminal lumbar interbody fusion (TLIF) is an effective surgery for lumbar degenerative disease. However, this fusion technique requires resection of inferior facet joint to provide access for superior facet joint resection, which results in reduced lumbar spinal stability and unnecessary trauma. We have previously developed extraforaminal lumbar interbody fusion (ELIF) that ca...

BACKGROUND The inverted-T technique is the most popular skin pattern used for mastopexy, but short scar variations have increased in popularity over recent years. With respect to nipple elevation, superior, superomedial, medial, inferior, lateral, and central pedicle designs have been described. OBJECTIVES We introduce a novel concept for mastopexy, the glandular Z-mammaplasty, and assess its...

PURPOSE To describe the anatomical variations of superficial inferior epigastric artery (SIEA) flap as a muscle-sparing flap. METHODS A series of 40 dissections were performed on 20 preserved or fresh male cadavers. The site origin and drainage of vessels, caliber, length, and correlation between diameter and length of pedicle were identified. RESULTS The SIEA and SIEV were identified at in...

BACKGROUND The latissimus dorsi myocutaneous flap (LDMCF) is frequently applied to breast cancer patients for breast reconstruction. However, the LDMCF is considered inappropriate for patients with ptotic breast. The authors investigated combining LDMCF and two local flaps for large defects of the breast after partial mastectomy in patients with ptosis. METHODS Nineteen patients with breast c...

1 Ahmed Emam, MRCS Khurram Khan, FRCS Elena Prousskaia, FRCS, EBOPRAS Department of Plastic Surgery Southmead Hospital Northbristol NHS Trust Bristol, United Kingdom Sir: B reconstruction with autologous free tissue transfer is a widely established technique considered to be the “gold standard.”1,2 The leading cause of return to theater after deep inferior epigastric flap reconstruction is hema...

Y ou are doing a breast reduction. You have chosen a vertical flap and inverted T incision. You like the vertical reduction and medial pedicle because there is a shorter incision , but you think there will be too much skin excess, so it will be better to excise it now. For some reason, every time you do the inferior pedicle the base of the pedicle becomes thin and narrow. This worries you. You ...