title: Double-pedicle transverse rectus abdominis myocutaneous flap for unilateral breast and chest-wall reconstruction.
abstract: Fifteen patients underwent unilateral breast and chest-wall reconstruction by a double-pedicle transverse rectus abdominis myocutaneous flap technique. Criteria for using both pedicles include (1) exceptionally large soft-tissue requirements, (2) prior abdominal operations compromising the vasculature to portions of the anterior abdominal wall, and (3) certain higher-risk patients with suspected microvascular pathology. Double pedicles allowed the transfer of the skin island as one unit or as two independent hemiellipses of tissue. Follow-up time ranges from 4 to 17 months. Complications included partial tissue loss in two patients, one abdominal flap seroma, and one patient with a hernia.
authors.forename: C H
authors.initials: CH
authors.lastname: Ishii
authors.forename: J
authors.initials: J
authors.lastname: Bostwick
authors.forename: T J
authors.initials: TJ
authors.lastname: Raine
authors.forename: J J
authors.initials: JJ
authors.lastname: Coleman
authors.forename: T R
authors.initials: TR
authors.lastname: Hester
mesh_terms: D000009:Abdominal Muscles; D000328:Adult; D000368:Aged; D001940:Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D008875:Middle Aged; D016038:Skin Transplantation; D013524:Surgical Flaps; D013526:Surgical Mesh; D013903:Thoracic Surgery / Q000379:methods*