Transverse Rectus Abdominis Musculocutaneous Flaps After Liposuction of the Abdomen

Godfrey, Philip M.; Godfrey, Norman V.

doi:10.1097/00000637-199408000-00015

Cited by 13 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 Despite its widespread acceptance in reconstructive surgery and its low total flap loss rates, a review of 17,096 DIEP flaps demonstrated that partial flap loss rates still occur in 0 to 11.1 percent of cases and fat necrosis rates range from 0.5 to 42.9 percent. [15][16][17][18][19][20] Our early attempts at breast reconstruction using DIEP flaps after suction lipectomy were successful from the perspective of anastomotic patency and no total flap losses. 1-8 Following Kroll and Rosenfield's description of a perforator flap in 1988, our understanding of tissue perfusion at the microcirculatory level has grown immensely.…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Indocyanine Green Laser Angiography Improves Deep Inferior Epigastric Perforator Flap Outcomes following Abdominal Suction Lipectomy

Casey

Connolly

Nanda

et al. 2015

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

“…[15][16][17][18][19][20] Our initial experience with DIEP breast reconstruction following abdominal liposuction consisted of seven flaps in six patients. Several small case series have demonstrated that successful abdominally based free flap reconstruction is possible in the setting of prior abdominal suction lipectomy.…”

mentioning

confidence: 99%

Indocyanine Green Laser Angiography Improves Deep Inferior Epigastric Perforator Flap Outcomes following Abdominal Suction Lipectomy

Casey

Connolly

Nanda

et al. 2015

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…In fact, TRAM reconstruction has long been regarded as contraindicated in these patients. 17 However, Godfrey and Godfrey 18 performed a successful TRAM reconstruction in a *Eight patients were excluded from this analysis, including 1 woman with Poland syndrome and 7 women with bilateral reconstruction (one side immediately after mastectomy and the other side as a delayed procedure). All omissions were from the non-Pfannenstiel group.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Pfannenstiel Scars on TRAM Flap Complications

Dayhim

Wilkins

2004

Annals of Plastic Surgery

View full text Add to dashboard Cite

For the past two decades, the transverse rectus abdominis musculocutaneous (TRAM) flap has been a mainstay of postmastectomy breast reconstruction. Because the flap depends on musculocutaneous perforating vessels from the rectus muscle for survival, some authors have raised concerns about increased risks of TRAM flap loss in patients with scars from previous abdominal surgeries, particularly those with Pfannenstiel scars. To assess the effects of Pfannenstiel scars on complication rates, we retrospectively evaluated the inpatient and outpatient records of 241 patients undergoing TRAM reconstruction in a single institution over an 11-year period. Of these patients, 51 had previous Pfannenstiel scars. while 190 did not. Controlling for potential confounding variables (body mass index and timing of reconstruction), logistic regressions found no significant differences between the Pfannenstiel and nonPfannenstiel cohorts in the rate of flap loss (15.7% and 20%, respectively; P = 0.376) or in the incidence of postoperative abdominal donor site laxity (17.6% and 12.1%, respectively; P= 0.361). Within the Pfannenstiel group, the type of TRAM reconstruction (ie, pedicle versus free flaps) did not have a significant effect on complication rates. We conclude that previous concerns over the impact of preexisting Pfannenstiel scars on TRAM flap complications are unfounded.

show abstract

“…This flap is particularly useful when first‐line abdominal‐based flaps, such as TRAM or DIEP flaps, are unavailable 18. Many surgeons are still leery of using abdominal‐based flaps on patients with previous abdominal liposuction, even though successful DIEP and TRAM flap reconstructions have been reported 5, 7–10. However, no series had more than 5 patients 10.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, contemporary abdominoplasty techniques focus on preserving perforator vascularity to maximize abdominal wall perfusion 4. Subsequent studies and case reports have also established the efficacy of either DIEP or TRAM flaps for breast reconstruction in patients with a previous history of abdominal liposuction 5–10. Ozkan et al11 demonstrated that after an abdominoplasty, multiple small perforators might regenerate over time, as evidenced with the improved survival rate of TRAM flaps performed on rats in a delayed setting.…”

mentioning

confidence: 99%

The transverse upper gracilis flap for breast reconstruction following liposuction of the thigh

2010

View full text Add to dashboard Cite

A particular flap with rising prominence in breast reconstruction is the transverse upper gracilis (TUG) flap. With the increasing prevalence of patients opting for various forms of elective liposuctions, breast reconstruction with flaps has necessitated a more meticulous yet perhaps more flexible screening for potential donor sites. We present a case of a bilateral breast reconstruction using TUG flaps in a patient with a previous history of liposuction to her abdomen and thighs. The dimensions of the TUG flaps were 7 × 31 cm². The patient did not undergo any flap or donor site complications. We speculate that perhaps much of the tissue and muscle in the medial thigh region is more robust than previously thought and that there is high potential for neo-vascularization in the thigh region following a liposuction. Accordingly, we advocate the effective use of the TUG flap for breast reconstruction in spite of previous liposuctions to the thighs.

show abstract

Transverse Rectus Abdominis Musculocutaneous Flaps After Liposuction of the Abdomen

Cited by 13 publications

References 0 publications

Indocyanine Green Laser Angiography Improves Deep Inferior Epigastric Perforator Flap Outcomes following Abdominal Suction Lipectomy

Indocyanine Green Laser Angiography Improves Deep Inferior Epigastric Perforator Flap Outcomes following Abdominal Suction Lipectomy

The Impact of Pfannenstiel Scars on TRAM Flap Complications

The transverse upper gracilis flap for breast reconstruction following liposuction of the thigh

Contact Info

Product

Resources

About