2013
DOI: 10.4172/plastic-surgery.1000819
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The transverse upper gracilis flap: Efficiencies and design tips

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Cited by 4 publications
(5 citation statements)
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“…In this context, sparing the saphenous vein resulted in a significant reduction in the incidence of lymphedema, as shown in radical inguinal lymphadenectomy 41 . Also, limiting the anterior TMG flap extent to the femoral neurovascular bundle and careful sparing of the saphenous vein may have diminished those complications on the TMG donor site 29,42 . Similarly, continuous advances in abdominal based breast reconstruction, shifting from the free transverse rectus abdominis musculocutaneous (TRAM) flap to the DIEP flap, have reduced serious functional complications, such as bulging and hernia on the donor site in abdominal based breast reconstruction 43 .…”
Section: Discussionmentioning
confidence: 99%
“…In this context, sparing the saphenous vein resulted in a significant reduction in the incidence of lymphedema, as shown in radical inguinal lymphadenectomy 41 . Also, limiting the anterior TMG flap extent to the femoral neurovascular bundle and careful sparing of the saphenous vein may have diminished those complications on the TMG donor site 29,42 . Similarly, continuous advances in abdominal based breast reconstruction, shifting from the free transverse rectus abdominis musculocutaneous (TRAM) flap to the DIEP flap, have reduced serious functional complications, such as bulging and hernia on the donor site in abdominal based breast reconstruction 43 .…”
Section: Discussionmentioning
confidence: 99%
“…The lower extremity-based flaps include the buttock-based superior and inferior gluteal artery perforator flaps, 3 4 5 6 the lateral thigh-based lateral thigh perforator flap, the medial thigh-based transverse upper gracilis (TUG) flap, and the posterior thigh-based profunda femoris artery perforator (PAP) flap. Among these, the TUG flap has been preferred by many plastic surgeons for breast reconstruction 7 8 9 10 as it is reliable, has consistent anatomy, and therefore, provides quick flap harvest. However, the TUG flap has well-established drawbacks, which include short pedicle length, lack of volume, and high donor site morbidity.…”
mentioning
confidence: 99%
“…The main distinguishing characteristic between the TUG and PAP flaps is the gracilis muscle; TUGs incorporate the gracilis and perfusion to the overlying skin is dependent on the presence of a perforator that do not need to be visualized during the dissection. 47,55 Profunda artery perforators, on the other hand, do not include the gracilis muscle and consequently the skin paddle can be centered on the perforators supplying the flap, arguably resulting in a more reliable skin paddle perforation. 19 In addition, while the superficial lymphatic system is disrupted regardless of the flap selected, PAP harvest is less likely to involve the deep lymphatics and thus reduce consequent dead space and the risk of seroma formation.…”
Section: Discussionmentioning
confidence: 99%