Double transverse myocutaneous gracilis free flaps for unilateral breast reconstruction

Abstract

Double TMG flaps in unilateral breast reconstruction could lead to good operative results. This method further expands the range of options with autologous tissue in reconstructive breast surgery. © 2015 Wiley Periodicals, Inc. Microsurgery 36:539-545, 2016.

Optimization of breast reconstruction results using TMG flap in 30 cases: Evaluation of several refinements addressing flap design, shaping techniques, and reduction of donor site morbidity

“…The demanding requirements of flap shaping and creation of an appealing breast shape created the need for constant improvement of the surgical techniques since the introduction of the TMG flap. Especially methods for perfecting breast volume, such as the incorporation of larger fat volumes by using a modified flap harvesting method (Fattah et al, ) or the use of a double TMG flap in unilateral breast reconstruction (Werdin, Haug, Amr, & Schoeller, ), have been described in literature. Nevertheless, we believe that our approach is not only an easy‐to‐use and straightforward mixture of surgical refinements, but also addresses any potential pitfalls of TMG breast reconstruction at donor and recipient site.…”

Preserving a patent DIEP pedicle to facilitate salvage breast reconstruction with a second free flap: A case report

“…These vessels were then prepared as recipient vessels for the right TUG flap pedicle, which were anastomosed end‐to‐end. The left TUG flap was then anastomosed to the adductor branch of the right TUG flap pedicle with end‐to‐end anastomoses (Hunter et al, ; Werdin, Haug, Amr, & Schoeller, ). The right TUG flap was inset in the lateral breast pocket and the left TUG flap medially.…”

Lentivirus-mediated CDglyTK gene-modified free flaps by intra-artery perfusion show targeted therapeutic efficacy in rat model of breast cancer

“…Although radical resection is the mainstay of treatment for breast cancer, there is a high risk of locoregional tumor recurrence after ablative surgery [3]. In addition, when such excision takes place, it can result in extensive soft tissue defects and loss of important aesthetic form that often needs microvascular free-tissue transfer for reconstruction, which has gained worldwide acceptance as the primary method for reconstructing post-oncological defects with low overall morbidities [4, 5]. However, free flaps simply reconstruct surgical defects and do not provide direct therapeutic benefits against the underlying cancer or withstand the toxic effects of adjuvant treatments, such as chemotherapy or radiotherapy, after surgical operation [6].…”