Direct delayed breast reconstruction with TAP flap, implant and acellular dermal matrix (TAPIA)

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Mikkel Børsen-KochJørn Bo Thomsen

Abstract

The latissimus dorsi (LD) flap is considered one of the working horses within the field of breast reconstruction and it offers several advantages. However, donor-site morbidity may pose a problem. This article describes a new and modified technique for delayed breast reconstruction combining the use of a propeller thoracodorsal artery perforator (TAP) flap with an acellular dermal matrix (ADM) and an implant. The paper presents 43 delayed breast reconstructions in 38 women using a modified technique for harvesting the TAP flap in combination with an ADM and an implant for total breast reconstruction. The focus of this paper is the refinements of our technique and short-term outcome in complication rates. The data presented were collected retrospectively. Three patients experienced major complications including hematoma, partial flap necrosis, and venous congestion. In addition, seven patients experienced minor complications including small partial flap necrosis and epidermolysis. There were no cases of infection and all flaps survived. The reconstructive goal was achieved in a single-stage procedure in all but one, 42/43 cases (98%). The propeller TAP flap combined with an ADM and an implant can safely be used for delayed breas...Continue Reading

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Citations

Jul 17, 2015·Plastic and Reconstructive Surgery. Global Open·Gudjon L GunnarssonJørn B Thomsen
Jul 9, 2016·Annals of Plastic Surgery·Gudjon Leifur GunnarssonJørn Bo Thomsen
Jan 28, 2021·Archives of Plastic Surgery·Jørn Bo ThomsenClaudio Angrigiani
Mar 8, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Mikkel Børsen RindomJørn B Thomsen
May 7, 2021·Plastic and Reconstructive Surgery. Global Open·Colton BoudreauJason Williams
Dec 22, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jens H HøjvigChristian T Bonde

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