The Versatile Extended Thoracodorsal Artery Perforator Flap for Breast Reconstruction
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The Versatile Extended Thoracodorsal Artery Perforator Flap for Breast Reconstruction. / Jacobs, Jordan; Børsen-Koch, Mikkel; Gunnarsson, Gudjon Leifur; Tos, Tina; Siim, Elsebeth; Udesen, Ann; Hölmich, Lisbet Rosenkrantz; Salzberg, Andrew; Thomsen, Jørn Bo.
I: Annals of Plastic Surgery, 28.09.2015, s. 1-5.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The Versatile Extended Thoracodorsal Artery Perforator Flap for Breast Reconstruction
AU - Jacobs, Jordan
AU - Børsen-Koch, Mikkel
AU - Gunnarsson, Gudjon Leifur
AU - Tos, Tina
AU - Siim, Elsebeth
AU - Udesen, Ann
AU - Hölmich, Lisbet Rosenkrantz
AU - Salzberg, Andrew
AU - Thomsen, Jørn Bo
PY - 2015/9/28
Y1 - 2015/9/28
N2 - BACKGROUND: The thoracodorsal artery perforator (TAP) flap is a versatile tool that can be used to reconstruct the breast. The authors use preoperative perforator mapping using color Doppler ultrasonography and present a safe, efficient harvesting technique to demonstrate reliable use of the TAP flap in reconstructive surgery.METHODS: A multicenter, retrospective review was performed on all patients undergoing TAP flap reconstruction from August 2011 to November 2014. Data were collected from patient records as well as outpatient interviews.RESULTS: A total of 106 TAP flaps were performed in 97 patients. The flaps were raised with either 1 perforator (42/106), 2 perforators (55/106), or three perforators (9/106), and turned as a propeller in 99 of 106 (93%) flaps or buried as a turnover in 7 of 106 (7%) of flaps. The mean operative time was 200 minutes (range, 60-485). Major complications occurred in 10 of 106 (10%) cases and included hematoma (1/108), venous congestion (2/108), and partial flap necrosis (7/108). The reconstructive goal was achieved in 103 of 106 (97%) flaps.CONCLUSIONS: The TAP flap is a pedicled, fasciocutaneous flap that can be used for total breast reconstruction as well as breast conserving surgery. This large, multicenter series describes our techniques of preoperative perforator mapping and a fast, reliable harvest. Reconstructive goals are accomplished in the great majority of patients.
AB - BACKGROUND: The thoracodorsal artery perforator (TAP) flap is a versatile tool that can be used to reconstruct the breast. The authors use preoperative perforator mapping using color Doppler ultrasonography and present a safe, efficient harvesting technique to demonstrate reliable use of the TAP flap in reconstructive surgery.METHODS: A multicenter, retrospective review was performed on all patients undergoing TAP flap reconstruction from August 2011 to November 2014. Data were collected from patient records as well as outpatient interviews.RESULTS: A total of 106 TAP flaps were performed in 97 patients. The flaps were raised with either 1 perforator (42/106), 2 perforators (55/106), or three perforators (9/106), and turned as a propeller in 99 of 106 (93%) flaps or buried as a turnover in 7 of 106 (7%) of flaps. The mean operative time was 200 minutes (range, 60-485). Major complications occurred in 10 of 106 (10%) cases and included hematoma (1/108), venous congestion (2/108), and partial flap necrosis (7/108). The reconstructive goal was achieved in 103 of 106 (97%) flaps.CONCLUSIONS: The TAP flap is a pedicled, fasciocutaneous flap that can be used for total breast reconstruction as well as breast conserving surgery. This large, multicenter series describes our techniques of preoperative perforator mapping and a fast, reliable harvest. Reconstructive goals are accomplished in the great majority of patients.
U2 - 10.1097/SAP.0000000000000615
DO - 10.1097/SAP.0000000000000615
M3 - Journal article
C2 - 26418777
SP - 1
EP - 5
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
ER -
ID: 162753201