Stacked Profunda Artery Perforator Flap for Breast Reconstruction in Failed or Unavailable Deep Inferior Epigastric Perforator Flap

Plastic and Reconstructive Surgery
Nicholas T HaddockSumeet S Teotia

Abstract

Recently, the profunda artery perforator flap has become one of the popular flap choices for patients who desire autologous breast reconstruction but are not optimal candidates for deep inferior epigastric perforator (DIEP) flap surgery. These patients are not ideal patients for DIEP flap surgery because of having poor perforators, previous abdominal operations, low body mass index, or previously used/failed DIEP flap. In their institution, the authors have performed stacked profunda artery perforator flaps for these patients to provide full volumetric and aesthetic reconstruction. A retrospective review of 20 patients (40 flaps) who underwent stacked profunda artery perforator flap surgery from 2014 to 2018 was performed. Patient characteristics, demographics, and flap data were collected. Forty flaps were used to reconstruct 20 breasts in 20 patients. The mean age of patients was 51.5 years (range, 38 to 74 years), the average body mass index was 27.3 kg/m(2) (range, 21.0 to 34.4 kg/m(2)), and the mean flap weight was 398.5 g (range, 170 to 600 g). The majority of anastomoses were performed in internal mammary vessels (60 percent), followed by thoracodorsal (10 percent), serratus (10 percent), and side branch of profunda arte...Continue Reading

References

Jan 1, 1994·Annals of Plastic Surgery·R J Allen, P Treece
Nov 30, 1999·Plastic and Reconstructive Surgery·J M SerlettiI Fox
Apr 13, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Moustapha HamdiStan Monstrey
Dec 17, 2009·Plastic and Reconstructive Surgery·Stephen J VegaHector Herrera
Dec 17, 2009·Annals of Plastic Surgery·Frank WerdinSteffen Baumeister
Mar 3, 2011·Plastic and Reconstructive Surgery·Frank J DellaCroceChris Trahan
Dec 22, 2011·Plastic and Reconstructive Surgery·Robert J AllenAlireza Sadeghi
Jun 21, 2013·Journal of Reconstructive Microsurgery·Keith M BlechmanRobert J Allen
Feb 27, 2014·Plastic and Reconstructive Surgery·Judith E HunterPaul A Harris
Jan 30, 2015·Plastic and Reconstructive Surgery·Andrew A GassmanChris A Crisera
Oct 27, 2016·Plastic and Reconstructive Surgery·Robert J AllenRobert J Allen
Jul 27, 2017·Plastic and Reconstructive Surgery·Nicholas T HaddockSumeet S Teotia

❮ Previous
Next ❯

Citations

Aug 29, 2019·Plastic and Reconstructive Surgery·Nicholas T HaddockSumeet S Teotia
May 23, 2020·Plastic and Reconstructive Surgery. Global Open·Nicholas T Haddock, Sumeet S Teotia
Aug 3, 2020·Plastic and Reconstructive Surgery·Min-Jeong ChoSumeet S Teotia
Jun 26, 2020·Journal of Reconstructive Microsurgery·Nicolas GreigeKatie E Weichman
Nov 10, 2020·Plastic and Reconstructive Surgery·Nicholas T HaddockSumeet S Teotia
Feb 17, 2021·Journal of Reconstructive Microsurgery·Ara A SalibianVishal D Thanik
May 8, 2020·Plastic and Reconstructive Surgery·Min-Jeong ChoSumeet S Teotia
Sep 14, 2021·Plastic and Reconstructive Surgery. Global Open·Nicholas T Haddock, Sumeet S Teotia

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.