The Profunda Artery Perforator Flap Experience for Breast Reconstruction
| Autor: | Z-Hye Lee, Joshua L. Levine, James L. Mayo, Christina Y. Ahn, Robert J. Allen |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty Breast surgery medicine.medical_treatment Breast Neoplasms 030230 surgery Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Hematoma medicine Humans Surgical Wound Infection Breast Fat Necrosis Mastectomy Retrospective Studies business.industry Middle Aged medicine.disease Surgery Prophylactic Mastectomy Seroma medicine.anatomical_structure Adipose Tissue 030220 oncology & carcinogenesis Female Breast reconstruction business Perforator Flap Perforator flaps Artery |
| Zdroj: | Plastic and Reconstructive Surgery. 138:968-975 |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/prs.0000000000002619 |
| Popis: | The profunda artery perforator flap was first introduced for breast reconstruction in 2010. In this article, the authors analyze the results of all profunda artery perforator flaps performed by their group to date.A retrospective review was completed of consecutive profunda artery perforator flaps performed by the senior author (R.J.A.) from 2010 to 2014. Patient demographics, indications, operative techniques, flap specifics, complications, and number of operations were recorded.Ninety-six patients have undergone 164 profunda artery perforator flap operations for breast reconstruction since 2010. Reconstructions were performed following breast cancer management (59.5 percent), following prophylactic mastectomy for cancer risk reduction (35.7 percent), and for congenital breast deformity (4.8 percent). The average age of the patients was 48 years (range, 24 to 64 years) and their average body mass index was 22.5 kg/m. Average flap weight was 367.4 g and average pedicle length was found to be 10.2 cm. The success rate of the profunda artery perforator flap was greater than 99 percent, with a 3 percent take-back rate and only one flap loss recorded. Complications included hematoma (1.9 percent), seroma (6 percent), fat necrosis (7 percent), and donor-site infection (1.9 percent).The profunda artery perforator flap is an excellent option for breast reconstruction. Advantages include a reliable blood supply, long pedicle, thick donor tissue, and a favorable donor site. Currently, the profunda artery perforator flap is second only to the deep inferior epigastric artery perforator among flaps used by the authors for breast reconstruction.Therapeutic, IV. |
| Databáze: | OpenAIRE |
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