Lumbar Artery Perforator Flap for Breast Reconstruction

2020 ◽  
pp. 209-217
Author(s):  
Moustapha Hamdi ◽  
Elisa Antoniazzi
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap ◽  
Lumbar Artery ◽  
Artery Perforator

The Lumbar Artery Perforator Flap in Autologous Breast Reconstruction

2018 ◽  
Vol 142 (1) ◽  
pp. 1e-8e ◽  
Author(s):  
Dries Opsomer ◽  
Filip Stillaert ◽  
Phillip Blondeel ◽  
Koenraad Van Landuyt
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap ◽  
Autologous Breast Reconstruction ◽  
Lumbar Artery ◽  
Artery Perforator

Donor Site Morbidity after Lumbar Artery Perforator Flap Breast Reconstruction

2021 ◽  
Author(s):  
Dries Opsomer ◽  
Tom Vyncke ◽  
Michelle Ryx ◽  
Koenraad Van Landuyt ◽  
Phillip Blondeel ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Donor Site ◽  
Significant Risk ◽  
Perforator Flap ◽  
Significant Risk Factor ◽  
Donor Site Morbidity ◽  
Diep Flap ◽  
Lumbar Artery ◽  
Patient Reported ◽  
Artery Perforator

Abstract Background The lumbar artery perforator flap is a second-choice flap in autologous breast reconstruction whenever a deep inferior epigastric artery perforator (DIEP) flap is not possible. Ideal candidates are pear-shaped women who do not have enough bulk on the abdomen or thighs. Patient-reported “satisfaction with breasts” is excellent but we were curious about the donor site morbidity. Methods We performed a retrospective study of all lumbar flap breast reconstructions performed between 2010 and 2019. Patients were invited by e-mail and telephone to take part in a BREAST-Q survey. Results One hundred fifty-four flaps were performed in 110 patients. Sixty-three patients filled out the BREAST-Q questionnaire. The most frequently observed donor site complications are seroma (35.1%), dehiscence (8.4%), and hematoma (3.2%). Correction of the donor site scar was performed in 31.8% of patients, lipofilling of the donor flank in 5.2%, and liposuction of the contralateral flank in 18.3% of patients. Body mass index (BMI) was the only significant risk factor for donor site complications. Patient-reported “satisfaction with donor site appearance” was good but significantly lower for primary reconstructions compared with secondary and tertiary procedures. Flap weight significantly influences patient-reported “physical wellbeing of the donor site.” Ninety-seven percent of patients would recommend the surgery to someone in a similar position and would do it all over. Conclusion The lumbar artery perforator flap is a good alternative for breast reconstruction in selected patients. The donor site issues consist mainly of seromas, prolonged discomfort, and a scar that might be noticeable to others, but patient-reported satisfaction is very high.

scholarly journals Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis

2016 ◽  
Vol 49 (01) ◽  
pp. 91-94 ◽  
Author(s):  
Toshihiko Satake ◽  
Reiko Nakasone ◽  
Shinji Kobayashi ◽  
Jiro Maegawa
Keyword(s):  
Breast Reconstruction ◽  
Ductal Carcinoma ◽  
Perforator Flap ◽  
Immediate Breast Reconstruction ◽  
Lumbar Artery ◽  
Excess Skin ◽  
Interposition Graft ◽  
Recipient Vessel ◽  
Lateral Thoracic Artery ◽  
Artery Perforator

ABSTRACTThe lumbar artery perforator (LAP) flap, which contains excess skin and fat tissue, love handles, that extends from the lower back to upper buttock, may provide an alternate tissue source for autologous breast reconstruction. However, LAP flap use during this procedure frequently requires vessel interposition grafts to correct the short flap pedicle length and mismatched recipient vessel calibre. A 46-year-old patient underwent a right nipple-sparing mastectomy using a lateral approach for ductal carcinoma in situ and immediate LAP flap breast reconstruction. The lateral thoracic vessel served as the recipient vessel, and a lateral thoracic vein interposition graft from the distal remnant was performed to adjust the arterial length and size discrepancy between the recipient lateral thoracic artery and pedicle artery. This procedure facilitates microsurgical anastomosis and medialisation of LAP flap to make a natural decollete line and create a cleavage for the reconstructed breast.

Autologous breast reconstruction with a free lumbar artery perforator flap

2003 ◽  
Vol 56 (2) ◽  
pp. 180-183 ◽  
Author(s):  
L. de Weerd ◽  
O.P. Elvenes ◽  
E. Strandenes ◽  
S. Weum
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap ◽  
Autologous Breast Reconstruction ◽  
Lumbar Artery ◽  
Artery Perforator

Incisional lumbar hernia after the use of a lumbar artery perforator flap for breast reconstruction

2019 ◽  
Vol 120 (4) ◽  
pp. 274-278
Author(s):  
Stijn Van Cleven ◽  
Karel Claes ◽  
Aude Vanlander ◽  
Koenraad Van Landuyt ◽  
Frederik Berrevoet
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap ◽  
Lumbar Hernia ◽  
Lumbar Artery ◽  
Artery Perforator

Early experience with the free lumbar artery perforator flap for breast reconstruction

2015 ◽  
Vol 68 (8) ◽  
pp. 1112-1119 ◽  
Author(s):  
Kevin T. Peters ◽  
Phillip N. Blondeel ◽  
Fernando Lobo ◽  
Koenraad van Landuyt
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap ◽  
Early Experience ◽  
Lumbar Artery ◽  
Artery Perforator
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