PMID: 15385761Sep 24, 2004Paper

Simultaneous bilateral breast reconstruction with superior gluteal artery perforator (SGAP) flaps

Annals of Plastic Surgery
Aldo Benjamin GuerraRobert J Allen

Abstract

The superior gluteal artery perforator (SGAP) flap is a useful technique for restoration of the breast after mastectomy. If appropriately planned, the soft-tissue envelope supplied by the superior gluteal artery perforator vessels can be harvested with minimal donor site morbidity and often results in a highly esthetic restoration of the breasts. Dissection of the flap is performed with complete preservation of gluteus maximus muscle function. The resulting vascular pedicle obtained via dissection through the muscle is longer than that of gluteal musculocutaneous flaps and affords the surgeon the luxury of avoiding vein grafts in the anastomotic phase of surgery. Despite these advantages, use of the SGAP flap is not popular among reconstructive surgeons. Many practitioners are not familiar with the vascular anatomy of the gluteal area and may not be comfortable with the dissection of the parent vessels or lack the desire to practice microsurgery. On the other hand, our group has reported the largest experience to date with this method of breast reconstruction and has found the SGAP flap to be a reliable and safe method of autologous breast restoration in unilateral absence of the breast. Although the indications to perform sing...Continue Reading

References

Oct 1, 1995·Plastic and Reconstructive Surgery·G R EvansN Ainslie
Jun 1, 1995·Plastic and Reconstructive Surgery·R J Allen, C Tucker
Jun 1, 1994·Plastic and Reconstructive Surgery·B J BaldwinB G Wang
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Jan 30, 1999·British Journal of Plastic Surgery·S S Kroll
Aug 13, 2002·Plastic and Reconstructive Surgery·David W ChangGregory P Reece
Jan 25, 2003·Annals of Plastic Surgery·Aldo Benjamin GuerraRobert Johnson Allen
Jan 28, 2004·Annals of Plastic Surgery·Aldo Benjamin GuerraRobert Johnson Allen

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Citations

Oct 10, 2008·The New England Journal of Medicine·Peter G Cordeiro
Jan 1, 2009·Plastic and Reconstructive Surgery·Koonhei W LuiMaolin Tang
Sep 5, 2009·Plastic and Reconstructive Surgery·Marga F MasseyUNKNOWN Group for the Advancement of Breast Reconstruction
Aug 4, 2010·Plastic and Reconstructive Surgery·Maria M LoTempio, Robert J Allen
Dec 3, 2010·Plastic and Reconstructive Surgery·Michael MagarakisGedge D Rosson
Mar 26, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Geraldine FadeRaphael Sinna
May 31, 2011·Clinics in Plastic Surgery·Warren M RozenMark W Ashton
Mar 17, 2012·Microsurgery·Jaime I FloresGedge D Rosson
Jun 11, 2015·Current Problems in Surgery·Stephanie A CatersonIndranil Sinha
Nov 2, 2016·The British Journal of Surgery·Z Rayter, S Wilson
Oct 31, 2008·Plastic and Reconstructive Surgery·Stefania TuinderWilly Boeckx
Nov 28, 2007·Plastic and Reconstructive Surgery·Reza AhmadzadehSteven F Morris
Mar 5, 2008·Plastic and Reconstructive Surgery·Steven J Kronowitz
Jun 24, 2009·Annals of Plastic Surgery·Christopher J PannucciEdwin G Wilkins
Dec 17, 2009·Annals of Plastic Surgery·Frank WerdinSteffen Baumeister
Jul 2, 2019·Plastic and Reconstructive Surgery·Giovanni ZoccaliJian Farhadi
Apr 17, 2015·Plastic and Reconstructive Surgery. Global Open·Toshihiko SatakeJiro Maegawa
Oct 1, 2019·Plastic and Reconstructive Surgery·Giovanni ZoccaliJian Farhadi
Apr 24, 2021·Plastic and Reconstructive Surgery. Global Open·Aneesh KarirJing Zhang

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