Tissue Expander Capsule for Abdominal Wall in Autologous Breast Reconstruction

Webster, Ronaldo Scholze; Goldoni, Barbara D’Avila; Netto, Rafael; Araujo, Thiago B. de; Ely, Pedro Bins

doi:10.1097/gox.0000000000000213

Cited by 1 publication

(2 citation statements)

References 16 publications

(5 reference statements)

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“…In the case of severe capsule contracture, the capsular flap might be difficult to advance or transpose. Capsular grafts represent a reliable option and have been successfully used to reinforce the abdominal wall 19 . Sarifakioglu et al 20 demonstrated that capsular tissue survives as a single-piece graft with a low resorption rate.…”

Section: Discussionmentioning

confidence: 99%

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Extensive Defect Reconstruction With Pre-expanded Anterolateral Thigh Flap

Zang

Wang

et al. 2023

Ann Plast Surg

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Background Previously reported pre-expansion techniques of the anterolateral thigh flap are mainly perforator-based. The expansion will interfere with the flap harvest if the requisite perforator is found unsuitable as a pedicle. Expansion of the peripheral territories of the flap donor site can minimize the interference from the expansion. Methods Forty-eight peripheral pre-expansions of the anterolateral thigh flap were retrospectively reviewed in 38 patients from 2012 to 2021. The reconstructive outcomes, including flap success, increase in flap size, donor-site closure, and complications, were assessed. In addition, subgroup analysis was performed based on the expanded territories. Results Rate of successful flap elevation of 100% and flap survival rate of 97.9% were achieved. One patient had total flap necrosis, which was salvaged with skin grafting. Peripheral expansion attained a mean 55.5% ± 19.6% increase in flap width. Primary donor-site closure was accomplished in 95.8% of flaps and fascial restoration in 97.9% of the donor sites. Three patients developed major expansion-related complications, which required surgical intervention. One patient had wound dehiscence in the donor site, which healed by secondary intention. Compared with other subgroups, the lateral-and-medial-side expansion provided a larger flap for reconstruction (P = 0.001). Conclusions If time is not of the essence, peripheral pre-expansion permits direct donor-site closure with size augment of the anterolateral thigh flap. In addition, it preserves the reliability and versatility of the anterolateral thigh flap.

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Section: Discussionmentioning

confidence: 99%

“…Capsular grafts represent a reliable option and have been successfully used to reinforce the abdominal wall. 19 Sarifakioglu et al 20 demonstrated that capsular tissue survives as a single-piece graft with a low resorption rate. In addition, stiffness and strength of the capsular tissue increase with the contracture severity.…”

Section: Discussionmentioning

confidence: 99%

Extensive Defect Reconstruction With Pre-expanded Anterolateral Thigh Flap

Zang

Wang

et al. 2023

Ann Plast Surg

View full text Add to dashboard Cite

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Tissue Expander Capsule for Abdominal Wall in Autologous Breast Reconstruction

Cited by 1 publication

References 16 publications

Extensive Defect Reconstruction With Pre-expanded Anterolateral Thigh Flap

Extensive Defect Reconstruction With Pre-expanded Anterolateral Thigh Flap

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