Propeller TAP flap breast reconstruction: A simplified surgical technique

Gunnarsson, Gudjon Leifur; Holm, Jorun; Duus, Nicolaj; Rindom, Mikkel Børsen; Tos, Tina; Bille, Camilla; Hölmich, Lisbet Rosenkrantz; Sørensen, Jens Ahm; Thomsen, Jørn Bo

doi:10.1016/j.bjps.2018.05.008

Cited by 8 publications

(18 citation statements)

References 14 publications

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“…All of the patients intended for a bilateral TAP flap breast reconstruction in this series ended up having successful bilateral breast reconstructions. In our experience, the success rate for TAP flap breast reconstructions is more than 98% and increasing (13).…”

Section: Discussionmentioning

confidence: 72%

“…It seems to have lesser impact on shoulder function in comparison with the LD flap and can be used when free flaps or expansion are discouraged due to patient factors or wishes. Furthermore, it is more readily available for the general plastic surgeon and is a relatively fast option for bilateral breast reconstruction in comparison with free flap reconstruction (13,23,24). CDU can be used not only to identify the perforators but can also be used as a tool in the surgical planning, drawing and dissection of the flap (5,18,25).…”

Section: Discussionmentioning

confidence: 99%

“…The use of CDU may allow for faster dissection and thus decrease operating time. We inform all our TAP flap candidates that 75% of the breast reconstructions can be performed as a direct to implant procedure using a silicone implant and that 25% needs to a two-stage procedure using an expander-toimplant approach due to a poorer vascular supply (13).…”

Section: Discussionmentioning

confidence: 99%

“…The TAP flap is an alternative to the LD flap and in cases, where a deep inferior epigastric artery (DIEP) is impossible or contraindicated. We have previously described our unilateral and bilateral methods for TAP flap breast reconstruction (5,(12)(13)(14). In this visualized surgery paper, we aim to show and describe how we perform bilateral propeller TAP flap breast reconstruction and share our results using this technique.…”

Section: Introductionmentioning

confidence: 99%

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Visualized bilateral breast reconstruction by propeller thoracodorsal artery perforator flaps

Lorenzen

Gunnarsson²,

Bille

et al. 2019

Gland Surg.

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Thoracodorsal artery perforator (TAP) flaps are versatile flaps that provide a consistent and aesthetically pleasing breast reconstruction. We prefer the TAP flap to the latissimus dorsi (LD) flap due to the morbidity associated with the LD flap. In this paper we aim to show how we perform bilateral TAP flap breast reconstruction and present our preliminary results from 32 bilateral reconstructions in 16 patients. The TAP flap breast reconstruction can be performed as a direct-to-implant or a delayed procedure depending on patient factors. Color Doppler ultrasonography (CDU) is used in the preoperative planning which promotes the safety and reliability of the flap by mapping perforators thus enabling faster dissection. The bilateral TAP flap breast reconstruction is usually performed in three steps: (I) raising the flaps at the recipient site; (II) rotating the TAP flaps and (III) completion of the breast reconstruction.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Visualized bilateral breast reconstruction by propeller thoracodorsal artery perforator flaps

Lorenzen

Gunnarsson²,

Bille

et al. 2019

Gland Surg.

Self Cite

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“…Методика отвечает требованиям, так называемой «невидимой хирургии» [18]. Для разметки перфорантов, возможных к использованию, большинство авторов рекомендует УЗИ с Допплером [18,19,20], в том числе интраоперационно [21], но возможно использование и компьютерной томографии / МРТ с контрастированием [22].…”

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Возможности Использования Перемещенных Перфорантных Лоскутов (LICAP / LTAP И AIAP / MICAP) В Онкопластической Хирургии Рака Молочной Железы (Обзор Литературы)

Шатова¹,

Maksimova²,

Vashchenko³

et al. 2020

Zlokač. opuholi

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На современном этапе органосохраняющее и функционально-щадящее хирургическое лечение рака молочной железы является приоритетным. Внедрение в клиническую практику различных онкопластических резекций позволило расширить группу больных, которым можно выполнить органосохраняющую операцию при этом достигнув хорошего эстетического результата и повысить онкологическую безопасность. Для восполнения объема и реконструкции молочной железы относительно недавно начали применять перемещенные перфорантные лоскуты передней грудной стенки, ранее широко используемые в реконструктивно-пластической хирургии для закрытия дефектов верхней половины туловища. В статье приведен обзор актуальной на данную тему литературы, отражающий возможности методики, ее достоинства и недостатки. Описаны возможные варианты локальных перфорантных лоскутов, особенности их анатомии и практического использования.

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Reconstruction mammaire secondaire unilatérale par lambeau dorsal pédiculé épargnant le muscle grand dorsal (TDAP et MSLD) chez les patientes aux antécédents de mastectomie totale pour cancer du sein. Étude observationnelle monocentrique

Barbat,

Hu,

Rouanet

et al. 2024

Annales de Chirurgie Plastique Esthétique

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Propeller TAP flap breast reconstruction: A simplified surgical technique

Cited by 8 publications

References 14 publications

Visualized bilateral breast reconstruction by propeller thoracodorsal artery perforator flaps

Visualized bilateral breast reconstruction by propeller thoracodorsal artery perforator flaps

Возможности Использования Перемещенных Перфорантных Лоскутов (LICAP / LTAP И AIAP / MICAP) В Онкопластической Хирургии Рака Молочной Железы (Обзор Литературы)

Reconstruction mammaire secondaire unilatérale par lambeau dorsal pédiculé épargnant le muscle grand dorsal (TDAP et MSLD) chez les patientes aux antécédents de mastectomie totale pour cancer du sein. Étude observationnelle monocentrique

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