The vertical posteromedial thigh (vPMT) flap for autologous breast reconstruction: A novel flap design

Abstract

The vertical vPMT is suitable for breast reconstruction in women with small to moderate breast size; the vertical pattern of the PMT avoids some of the problems related to other flaps with transverse patterns and represents an alternative design that can be successfully used for breast reconstruction. © 2016 Wiley Periodicals, Inc. Microsurgery 37:371-376, 2017.

The correlation of the perforators and the accessory saphenous vein in a profunda femoris artery perforator flap for additional venous anastomosis: A cadaveric study and clinical application

“…The vena comitans of the PAP was anastomosed to the internal jugular vein in an end‐to‐side manner and the accessory saphenous vein was anastomosed to the external jugular vein in an end‐to‐end manner under the sternocleidomastoid muscle (Karakawa, Harima, & Iida, ) (Figure e). Two venous anastomoses were expected to contribute to the reduction in venous thrombosis and flap failure rates (Ahmadzadeh, Bergeron, Tang, Geddes, & Morris, ; Scaglioni, Chen, Lindenblatt, & Giovanoli, ; Scaglioni, Eder, & Giovanoli, ). The postoperative course was uneventful and the transferred flap completely survived (Figure f).…”

“…(Figure 5c,d position was later adopted to eliminate the need for repositioning. In recent years, various kinds of flap design of posteromedial thigh area were reported (Scaglioni et al, 2017(Scaglioni et al, , 2018.…”

“…The vena comitans of the profunda femoris artery perforator was anastomosed to an internal jugular vein in end-to-side manner (pink arrow) and the accessory saphenous vein was anastomosed to the external jugular vein in end-to-end manner (white arrow). (f) The postoperative viewChen, Lindenblatt, & Giovanoli, 2017;Scaglioni, Eder, & Giovanoli, 2018). The postoperative course was uneventful and the transferred flap completely survived(Figure 4f).3.1.2 | Case 2A 51-year-old woman underwent right mastectomy 1 year earlier.…”

Simplified profunda artery perforator (PAP) flap design using power Doppler ultrasonography (PDU): A prospective study

“…The residual concealed scar and low functional morbidity after harvest are well appreciated (Allen et al, ; Satake et al, ). Sufficient flap volume and high versatility have expanded their surgical indications (Fernandez‐Riera, Hung, Wu, & Tsao, ; Mayo, Canizares, Torabi, Allen, & St. Hilaire, ; Scaglioni, Chen, Lindenblatt, & Giovanoli, ; Scaglioni, Hsieh, Giovanoli, & Chen, ; Wu, Huang, & Cheng, ).…”

Medium- and Large-Sized Autologous Breast Reconstruction using a Fleur-de-lys Profunda Femoris Artery Perforator Flap Design: A Report Comparing Results with the Horizontal Profunda Femoris Artery Perforator Flap

“…In their study, every patient underwent immediate breast reconstruction and the average weight of the vPMT flap was 431 g (range: 390-470 g). 19 The same team reported a new design of the vPMT flap as an inverted L shape to increase its volume to fit medium-sized breast in immediate breast reconstruction. In this single case report, the flap weight was 310 g. 20 In the current report, the mean fleur-de-lys PAP flap weight was 480 g versus 222 g for the horizontal PAP flap harvest.…”