The transverse myocutaneous gracilis flap: technical refinements

Fattah, Adel; Figus, Andrea; Mathur, Bhagwat; Ramakrishnan, Venkat

doi:10.1016/j.bjps.2008.10.015

Cited by 85 publications

(57 citation statements)

References 9 publications

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“…We preserve as much fascia as possible over the adductor muscles. The entire nipple-areola complex is reconstructed by folding the flap and using multiple, deep sutures, which is different from what Fattah et al 13 had described by cutting local flaps within the flap itself after folding it.…”

Section: Discussionmentioning

confidence: 97%

Transverse Upper Gracilis Flap as an Alternative to Abdominal Tissue Breast Reconstruction

Buntic

Horton

Brooks

et al. 2011

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 97%

Transverse Upper Gracilis Flap as an Alternative to Abdominal Tissue Breast Reconstruction

Buntic

Horton

Brooks

et al. 2011

Plastic and Reconstructive Surgery

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“…Eight different series were found in the literature working on gracilis free flap. Fattah et al [14], Kay et al [15], Huemer et al [16], Wechselberger et al [17], and Osiogo et al [18] had reported almost the same rate and type of complication working with the microscope. Del Frari et al [8] had reported slightly less complication rates, particularly partial flap necrosis.…”

Section: Discussionmentioning

confidence: 89%

Binocular single-refraction magnifying glasses for free flap surgery: a reliable method for developing countries

2012

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Although free flaps are gaining more popularity, the logistic reasons and slow training curve are still major obstacles, particularly in developing countries. Binocular magnification glasses seemed an appealing alternative to surgical microscopes and loupes. From May 2008 to December 2010, 16 gracilis free flaps were performed by five surgeons using binocular-magnifying eye glass in the Plastic Surgery Unit of Suez Canal University Hospital. Survival rate of the flaps was 100%. Only two patients (one smoker and one diabetic) had complications: partial flap loss with infection and hematoma. Both were treated conservatively. The main advantages of this magnification method were very low cost, availability, and short training period compared with a standard microsurgery training. Other advantages were the freedom of movement during operation, same orientation, wide field, adjustability of working distance, and permission of team work. The only inconvenience was the restriction of working distance, although longer or similar to that of loupes. We therefore recommend the use of this method in developing countries as well as relief and war field hospitals. Furthermore, these glasses seem to be of value in all surgeries needing magnification.

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“…The design of this flap and the technique for its dissection have been described extensively in the literature. 3,9 Later in the course of the study, the authors transitioned to a vertical upper gracilis flap, which has now become the preferred technique (Fig. 1).…”

Section: Flap Designmentioning

confidence: 98%