title: Bilateral breast reconstruction from a single hemiabdomen using angiosome-based flap design.
abstract: Performing bilateral autologous breast reconstruction using the abdominal donor site usually entails harvesting one flap from each hemiabdomen. However, the overlapping vascular territories of the superior epigastric, deep inferior epigastric, superficial inferior epigastric, and superficial circumflex iliac vessels make it theoretically possible to harvest two flaps based on vessels from one hemiabdomen. This may be useful in the obese patient, where one hemiabdomen may provide adequate tissue to reconstruct two breasts. The authors describe three clinical scenarios where they have used this principle, including the first reports in the literature of metachronous and synchronous bilateral breast reconstructions using two flaps based on pedicles from a single hemiabdomen.
  
  
  METHODS
  Therapeutic, V.
authors.affiliation: New York, N.Y. From the Division of Plastic and Reconstructive Surgery and the Department of Surgery, Beth Israel Medical Center; and the Division of Plastic and Reconstructive Surgery, St. Luke's-Roosevelt Medical Center.
authors.forename: Mark L
authors.initials: ML
authors.lastname: Smith
authors.forename: Brad M
authors.initials: BM
authors.lastname: Gandolfi
authors.forename: Erez
authors.initials: E
authors.lastname: Dayan
authors.forename: Emily M
authors.initials: EM
authors.lastname: Clarke-Pearson
authors.forename: William
authors.initials: W
authors.lastname: Samson
authors.forename: Mark R
authors.initials: MR
authors.lastname: Sultan
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Dayan
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D001943:Breast Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D019074:Epigastric Arteries / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D061525:Perforator Flap / Q000098:blood supply*; D018570:Risk Assessment; D012494:Sampling Studies; D050507:Subcutaneous Fat, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
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