The Profunda Artery Perforator Flap Experience for Breast Reconstruction

Allen, Robert J.; Lee, Z‐Hye; Mayo, James L.; Levine, Joshua L.; Ahn, Christina Y.

doi:10.1097/prs.0000000000002619

Cited by 88 publications

(72 citation statements)

References 17 publications

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“…Outcomes for the PAP flap have been promising. Large series have been presented by Allen et al and Haddock et al These reports demonstrate the PAP flap to be a reliable option for breast reconstruction with a long pedicle length, excellent caliber vessels for microvascular anastomosis, low donor site morbidity, and an acceptable scar. Several disadvantages, however, have been observed.…”

Section: Alternative Flaps For Microsurgical Breast Reconstructionmentioning

confidence: 99%

Modern techniques and alternative flaps in microsurgical breast reconstruction

Seth

Allen

2018

Journal of Surgical Oncology

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Breast reconstruction with autologous tissue has become an essential part of the breast cancer patient care algorithm, with the abdomen being the most common tissue donor site. However, within this field, the technology and surgical techniques available to the reconstructive breast surgeon have evolved over time. This review aims to summarize the literature surrounding current techniques in microsurgical breast reconstruction including the use of alternative, nonabdominal flaps.

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Section: Alternative Flaps For Microsurgical Breast Reconstructionmentioning

confidence: 99%

Modern techniques and alternative flaps in microsurgical breast reconstruction

Seth

Allen

2018

Journal of Surgical Oncology

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“…The length of the flap can be up to 35 cm, which extends from the posterior lateral thigh to the medial thigh. If the TUG flap is being considered as a bailout plan then the medial incision should be carried to the adductor longus [37]. If more posterior perforators are being considered the patient can be in the prone position.…”

Section: Markingmentioning

confidence: 99%

Immediate Breast Reconstruction with Free Autologous Tissue Transfer

Zelones¹,

Inchauste²,

Nguyen³

2020

Breast Cancer and Breast Reconstruction

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Immediate breast reconstruction in the United States is increasing with the majority of patients undergoing implant-based reconstruction. The use of pedicled autologous tissues has also been used, but due to significant donor site morbidity, free autologous tissue transfer has largely replaced it. The gold standard currently for breast reconstruction is free autologous tissue transfer from the abdomen if no contraindications exist. However, not all hospitals have the expertise available to perform free autologous tissue transfers for breast reconstruction. Other donor sites available for free autologous tissue transfer include the thigh and gluteal areas. With advances in free tissue transfer techniques, the donor site morbidity and flap failure rates are minimal. The ultimate goal for any breast reconstruction patient is to achieve the appropriate size, shape, symmetry, softness, and sensation. The goal of this chapter is to assist in achieving these goals in the immediate breast reconstruction patient through the use of free autologous tissue transfers.

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“…The PAP flap also boasts a generous vascular pedicle length, can be contoured into a cosmetically-pleasing shape, and can incorporate branches of the posterior femoral cutaneous nerve to provide a sensate flap. 12,18,21 Similar to the TUG flap, the PAP flap requires a transverse cut producing increased tension at the donor site. This limits the amount of tissue transferred and increases donor site morbidity including contour deformities and scar widening.…”

Section: Free Flap Proceduresmentioning

confidence: 99%

“…This limits the amount of tissue transferred and increases donor site morbidity including contour deformities and scar widening. 18,21 However, unlike the TUG flap, lymphatics are avoided during the procedure, and lymphedema is not a significant concern. 12,18,21 The PAP flap has recently become a significant, reliable alternative to abdominal-based free tissue reconstruction in patients with sparse abdominal tissue, or who exhibit other contraindications to its use.…”

Section: Free Flap Proceduresmentioning

confidence: 99%

Free Tissue Breast Reconstruction

Dibbs

Trost

DeGregorio

et al. 2019

Seminars in Plastic Surgery

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Free tissue transfer serves as a modern workhorse for breast reconstruction. Advancements in microsurgical technique have allowed for the development of free flap procedures that produce an aesthetic breast while minimizing donor site morbidity. Here, the authors review the use of different free flap procedures for breast reconstruction with a focus on the preferred and most commonly used flap, the deep inferior epigastric perforator flap. Each flap has its advantages and drawbacks, and certain patient risk factors increase postoperative complications. Other techniques of breast reconstruction including pedicled flaps and adjunctive fat grafting are also briefly discussed.

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The Profunda Artery Perforator Flap Experience for Breast Reconstruction

Abstract: Therapeutic, IV.

Cited by 88 publications

References 17 publications

Modern techniques and alternative flaps in microsurgical breast reconstruction

Modern techniques and alternative flaps in microsurgical breast reconstruction

Immediate Breast Reconstruction with Free Autologous Tissue Transfer

Free Tissue Breast Reconstruction

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