The transverse myocutaneous gracilis free flap: a valuable tissue source in autologous breast reconstruction

Plastic and Reconstructive Surgery
Gottfried Wechselberger, Thomas Schoeller

Abstract

The transverse myocutaneous gracilis free flap with a transverse orientation of the skin paddle in the proximal third of the medial thigh region allows the taking, in selected patients, of a moderate amount of tissue for autologous breast reconstruction. The donor-site morbidity is similar to that of a classic medial thigh lift. The indication for this flap in autologous breast reconstruction and the surgical technique will be discussed in this article. From August of 2002 to March of 2003, 10 patients underwent autologous breast reconstruction with 12 transverse myocutaneous gracilis free flaps. The patients' ages ranged from 26 to 48 years (median, 40 years). Of those, two BRCA-positive women received bilateral breast reconstructions after prophylactic skin-sparing mastectomy, and eight patients received immediate breast reconstruction after skin-sparing mastectomy in early-stage breast cancer. Mean follow-up of the 10 patients was 5 months (range, 1 to 9 months). We had no free-flap failure. Four patients had small areas of ischemic skin necrosis related to very thin preparation of the skin envelope after skin-sparing mastectomy without altering the final aesthetic results. Cosmetic evaluation of the reconstructed breasts an...Continue Reading

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Citations

Mar 4, 2005·Microsurgery·Georg M HuemerThomas Schoeller
Dec 31, 2004·Aesthetic Plastic Surgery·Georg M HuemerThomas Schoeller
Dec 5, 2006·Surgical and Radiologic Anatomy : SRA·Dorothée Coquerel-BeghinFabrice Duparc
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May 6, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Gottfried Weschselberger, Thomas Schoeller
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