Evolution from the TUG to PAP flap for breast reconstruction: Comparison and refinements of technique

Hunter, JO; Lardi, Alessia M.; Dower, D R W; Farhadi, Jian

doi:10.1016/j.bjps.2015.03.011

Cited by 69 publications

(79 citation statements)

References 14 publications

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“…Pedicle length and perforator diameter of the TUG flap can be small compared with the PAP flap. 14,19, 26 Schoeller et al found a TUG pedicle length measuring only 6 to 8 cm. Artery and vein diameters were 1.2 mm and 2.8 mm, respectively.…”

Section: Discussionmentioning

confidence: 98%

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Breast Reconstruction Using the Geometrically Modified Profunda Artery Perforator Flap From the Posteromedial Thigh Region

Hupkens

Hameeteman

Westland

et al. 2016

Annals of Plastic Surgery

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Section: Discussionmentioning

confidence: 98%

“…3,19,[25][26][27] Many microsurgeons currently consider GAP flaps or TUG flaps the best alternative for autologous breast reconstruction when the DIEP flap is unavailable or undesirable. However, a major drawback of GAP flaps is the necessity to reposition the patient from prone to supine or to use the side position.…”

Section: Discussionmentioning

confidence: 99%

Breast Reconstruction Using the Geometrically Modified Profunda Artery Perforator Flap From the Posteromedial Thigh Region

Hupkens

Hameeteman

Westland

et al. 2016

Annals of Plastic Surgery

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“…Le second choix se porte alors soit vers la fesse avec les lambeaux inferior gluteal artery perforator (IGAP) ou superior gluteal artery perorator (SGAP) [4,[17][18][19][20], soit vers la cuisse avec le lambeau de gracilis à palette transversale haute (TUG) [5,12,21,22] (Tableau 5).…”

Section: Discussionunclassified

“…Dans notre étude, nous avons opté pour la position gynécologique modifiée [11,12] qui offre les avantages des deux positions sans leurs inconvénients. L'intervention est réalisée en double équipe.…”

Section: Discussionunclassified

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Reconstruction mammaire par profunda artery perforator flap : étude prospective des 30 premiers cas consécutifs

Haddad¹,

Hunsinger²,

Obadia³

et al. 2016

Annales de Chirurgie Plastique Esthétique

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Distribution of internal thoracic artery perforators: A clincal anatomy study

Kim

Lee

et al. 2018

Clinical Anatomy

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There are various modifications of the transverse rectus abdominis musculocutaneous flap and deep inferior epigastric perforator flap to reduce the morbidity of the donor site or to augment the vascularity of the flap. For microanastomosis of multiple pedicles, multiple recipient vessels or an intervening vein graft should be provided. In addition, alternative perforator-based flaps used in breast reconstruction have small caliber pedicles. Therefore, small recipient vessels such as internal thoracic artery perforators are more suitable for appropriate microanastomosis. Therefore, it is important to acquaint the distribution and anatomical characteristics of internal thoracic artery perforators. We researched the perforators running in the intercostal spaces under the pectoralis major muscle to provide an overview of the anatomical distribution and characteristics of the perforators in patients who underwent immediate subpectoral implant-based breast reconstructions. In our study, the major perforators (diameter > 1.5 mm) were easily found 2-7 cm medially between the third and fourth intercostal space and were sparse in the lateral area from the midline of the breast (usually 8-9 cm lateral to the midsternal line) and above the third rib. In each side of the breast, the average number of perforators greater than 1.5 mm was 1.6, and the average number of perforators between 1 mm and 1.5 mm in diameter was 3.2.Our results provide information about perforators in the anterior chest wall related to the breast area. Clin. Anat. 32:471-475, 2019.

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Evolution from the TUG to PAP flap for breast reconstruction: Comparison and refinements of technique

Cited by 69 publications

References 14 publications

Breast Reconstruction Using the Geometrically Modified Profunda Artery Perforator Flap From the Posteromedial Thigh Region

Breast Reconstruction Using the Geometrically Modified Profunda Artery Perforator Flap From the Posteromedial Thigh Region

Reconstruction mammaire par profunda artery perforator flap : étude prospective des 30 premiers cas consécutifs

Distribution of internal thoracic artery perforators: A clincal anatomy study

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