Commentary On: The “Hug Flap”: Surgical Technique Refinement For Enhanced Aesthetic Breast Projection in Autologous Breast Reconstruction

2021 ◽  
Author(s):  
Ciara A Brown ◽  
Albert Losken
Keyword(s):  
Surgical Technique ◽  
Breast Reconstruction ◽  
Autologous Breast Reconstruction ◽  
Aesthetic Breast ◽  
Breast Projection

Breast Reconstruction with Non-Abdominal–Based Free Tissue Flaps

2019 ◽  
pp. 795-802
Author(s):  
Erica Bartlett ◽  
Aldona J. Spiegel
Keyword(s):  
Surgical Technique ◽  
Breast Reconstruction ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
Autologous Breast Reconstruction ◽  
Superior Gluteal Artery ◽  
Alternative Donor ◽  
Lateral Thigh ◽  
Tissue Flaps ◽  
Artery Perforator

Abdominal-based free tissue transfer accounts for the majority of autologous breast reconstruction. In situations where abdominal sources are unavailable, other donor sites should be considered. In this chapter, alternative donor sites for autologous breast reconstruction are discussed, specifically, gluteal- and thigh-based flaps. The superior gluteal artery perforator (SGAP) and inferior gluteal artery perforator (IGAP) flaps are discussed from the gluteal donor site, and the transverse upper gracilis (TUG), profunda artery perforator (PAP), and the lateral thigh perforator (LTP) flaps are discussed from the thigh donor site. Relevant anatomy and surgical technique are discussed for each flap in order to enhance awareness of secondary flap options in the plastic surgeon’s armamentarium for breast reconstruction.

scholarly journals Combining Autologous Breast Reconstruction and Vascularized Lymph Node Transfer

2018 ◽  
Vol 32 (01) ◽  
pp. 036-041 ◽  
Author(s):  
Jaume Masià ◽  
Mark Smith ◽  
Edward Chang
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Breast Reconstruction ◽  
Inguinal Lymph Node ◽  
Postoperative Management ◽  
Breast Cancer Patients ◽  
Autologous Breast Reconstruction ◽  
Lymph Node Transfer ◽  
Aesthetic Breast ◽  
Vascularized Lymph Node Transfer

AbstractBreast cancer patients are at risk for developing postmastectomy lymphedema syndrome of the ipsilateral upper extremity following treatment for breast cancer in the setting of an axillary dissection, postoperative radiation, and chemotherapy. For patients suffering from lymphedema who are also seeking breast reconstruction, combining an autologous abdominal free flap with a vascularized inguinal lymph node transfer provides patients the opportunity to have an aesthetic breast reconstruction as well as the potential to improve their lymphedema in a single operation. The present article aims to provide a description of the salient features of this approach including the preoperative preparation, the surgical technique, the postoperative management and complications, and a summary of the outcomes.

The evolution of autologous breast reconstruction

2020 ◽  
Vol 26 (11) ◽  
pp. 2223-2225
Author(s):  
Domenico Costanzo ◽  
Marco Klinger ◽  
Andrea Lisa ◽  
Luca Maione ◽  
Andrea Battistini ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Autologous Breast Reconstruction

scholarly journals Age and Overweight Are Not Contraindications for a Breast Reconstruction with a TMG-Flap—A Risk and Complication Analysis of a Retrospective Double Center Study Including 300 Patients

2021 ◽  
Vol 10 (5) ◽  
pp. 926
Author(s):  
Karl Schwaiger ◽  
Laurenz Weitgasser ◽  
Maximilian Mahrhofer ◽  
Kathrin Bachleitner ◽  
Selim Abed ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Data Extraction ◽  
Free Flaps ◽  
Risk Groups ◽  
The Elderly ◽  
Demographic Development ◽  
Autologous Breast Reconstruction ◽  
Significant Difference

Introduction: The transverse myocutaneous gracilis (TMG) flap has become a popular and reliable alternative for autologous breast reconstruction. Initially described as a valuable tissue source for women with low body-mass index, indications nowadays have widely expanded. The Western civilization demographic development with its aging population and the steady growing average BMI has led to increasing breast reconstructions with TMG flaps in overweight and aged individuals. Patients and Methods: A total of 300 TMG free flaps for unilateral autologous breast reconstruction were evaluated in the form of a retrospective double center cohort study. Data extraction, study group formation and statistical analysis (One-way analysis of variance (ANOVA), Pearson’s chi-squared statistical analysis and relative risk calculation) were done specifically to evaluate age and BMI as risk factors for postoperative complications and outcome. Results: No significant differences in patients’ age and BMI in the complication groups compared to the no-complication group could be found. No significant difference regarding the occurrence of complications could be found in any of the formed risk-groups. No significant increase of minor-, major- or overall complications, flap loss or revision surgeries were found in the elderly patient groups or for patients with overweight. Conclusion: Age and overweight do not significantly increase the risk for postoperative complications after breast reconstructions with free TMG flaps. The findings of this study support the fact that microsurgical breast reconstruction with a free TMG flap should not solely be reserved for younger patients and females with a lower BMI.

Comparing the cost of delayed and immediate autologous breast reconstruction in Belgium

2005 ◽  
Vol 58 (4) ◽  
pp. 493-497 ◽  
Author(s):  
M.J. Neyt ◽  
P.N. Blondeel ◽  
C.M. Morrison ◽  
J.A. Albrecht
Keyword(s):  
Breast Reconstruction ◽  
Autologous Breast Reconstruction ◽  
The Cost
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