A New ???Siamese??? Flap for Breast Reconstruction: The Combined Infragluteal???Transverse Myocutaneous Gracilis Muscle Flap

The Transverse Musculocutaneous Gracilis Flap for Breast Reconstruction: Guidelines for Flap and Patient Selection

“…Furthermore, by extending the skin island more posteriorly, a larger single flap can be raised including an independent vascular pedicle, namely, the inferior gluteal artery and veins. 40 This will allow for reconstruction of even a large breast with a single flap, although we have abandoned this concept and now recommend using two flaps rather than one large flap.…”

The transverse musculo‐cutaneous gracilis flap for breast reconstruction: How to avoid complications

“…In 1995, Schoeller et al also described an extended TMG flap of the gluteal fold. Major flap volume was obtained by combining the inferior gluteal artery perforator (IGAP) flap with the TMG flap . The procedure required two pedicle anastomoses at the recipient site and a changing of position during surgery.…”

The Fleur-de-Lis Upper Gracilis Flap for Breast Reconstruction

“…An inverted L-shaped flap combining the posterior horizontal skin island with a vertical one was described by Vega et al 20 Although the L-shaped flap avoids an intersecting suture line, we found the fleur-de-lis configuration more intuitive in flap shaping and donor-site closure, allowing posterior advancement of the anterior thigh skin. Another modification in the pursuit of obtaining additional volume is the ''Siamese'' flap described by Schoeller et al, 21 which combines the transverse myocutaneous gracilis flap with an inferior gluteal artery perforator flap. This flap, however, increases the complexity of the procedure considerably.…”