Microsurgical Tissue Transfer in Breast Reconstruction.
Autologous breast reconstructions have grown in popularity because of their durability, aesthetic outcomes, symmetry, increase in external beam radiotherapy use, and potential aesthetic enhancement at the donor site. Increasing patient expectations for predictable high aesthetic outcomes with minimal complications or need for further procedures has been met by refinement in the use of flaps. The authors' microsurgical breast reconstruction center aims to provide this while delivering efficient service. The deep inferior epigastric flaps form 85% and transverse upper gracilis and profunda artery perforator flaps account for 10%; lumbar artery perforator flaps are a new addition to the authors' armamentarium.
Department of Plastic Surgery & Burns, The Royal Infirmary Hospital, University Hospitals of Leicester, Infirmary Square, Leicester LE1 5WW, UK. Electronic address: nakul9@gmail.com.
Nakul Gamanlal
NG
Patel
St. Andrew's Centre for Plastic Surgery & Burns, Broomfield Hospital, Court Road, Chelmsford, Essex CM1 7ET, UK.
Venkat
V
Ramakrishnan
D001943:Breast Neoplasms / Q000601:surgery; D004954:Esthetics; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008866:Microsurgery; D013524:Surgical Flaps / Q000098:blood supply*
Breast reconstruction; Deep inferior epigastric flap (DIEP) flap; Inferior gluteal artery perforator (IGAP) flap; Profunda artery perforator (PAP) flap; Superior gluteal artery perforator (SGAP) flap; Transverse upper gracilis (TUG) flap