Medium- and Large-Sized Autologous Breast Reconstruction using a Fleur-de-lys Profunda Femoris Artery Perforator Flap Design: A Report Comparing Results with the Horizontal Profunda Femoris Artery Perforator Flap
| Autor: | Samah Abedalthaqafi, Vincent Hunsinger, Mikael Hivelin, Mohamed Derder, Francesco-Saverio Wirz, K. Haddad, Laurent Lantieri, Martin Lhuaire, Alexandre Marchac, D. Obadia, Marc David Benjoar |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Esthetics medicine.medical_treatment Mammaplasty Breast Neoplasms Femoral artery 030230 surgery Modified Radical Mastectomy Thigh 03 medical and health sciences 0302 clinical medicine DIEP flap medicine.artery medicine Humans Breast Mastectomy Aged Retrospective Studies business.industry Postoperative complication Organ Size Middle Aged eye diseases Surgery Femoral Artery medicine.anatomical_structure Treatment Outcome Patient Satisfaction 030220 oncology & carcinogenesis Female Breast reconstruction business Perforator Flap |
| Zdroj: | Journal of reconstructive microsurgery. 35(1) |
| ISSN: | 1098-8947 |
| Popis: | Background The volume of the profunda femoris artery perforator (PAP) flap limits its indications to small- and medium-sized breast reconstructions after modified radical mastectomy for cancer. We report a modified PAP flap design, including not only a vertical extension that increases its volume but also the skin surface, which suits larger breasts requiring immediate or delayed breast reconstructions and compare the results with our horizontal skin paddle PAP flap experience. Patients and Methods In our center between November 2014 and November 2016, 51 consecutive patients underwent a PAP flap breast reconstruction following breast cancer. A retrospective analysis on the collected data was performed to compare 34 patients with a bra cup smaller than C who underwent 41 horizontal PAP flap procedures, with those (n = 17) of a bra cup greater than or equal to C who underwent 21 fleur-de-lys PAP flap procedures. Demographic, anthropometric, flap and surgical characteristics, postoperative complication rates, and hospital stay were compared between the two groups. Results The average flap weight was 480 g (range: 340–735 g) for the fleur-de-lys PAP flap group compared with 222 g (range: 187–325 g) for the horizontal PAP flap procedure (p Conclusion The fleur-de-lys skin paddle design not only allows an increase of the horizontal PAP flap volume, but also increases the skin surface, with an acceptable donor site morbidity. For medium- or large-sized breasts, the fleur-de-lys PAP flap seems to be ideal when a DIEP flap-based reconstruction is contraindicated. |
| Databáze: | OpenAIRE |
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