Handchir Mikrochir Plast Chir 2008; 40(4): 248-254
DOI: 10.1055/s-2008-1038754
Originalarbeit

© Georg Thieme Verlag KG Stuttgart · New York

Autologous Breast Reconstruction Following Mastectomy

Autologe Brustrekonstruktion nach MastektomieM. Y. Nahabedian1 , J. Schwartz1
  • 1Department of Plastic Surgery, Georgetown University, Washington DC, USA
Further Information

Publication History

eingereicht 6.1.2008

akzeptiert 21.5.2008

Publication Date:
20 August 2008 (online)

Abstract

The options for breast reconstruction following mastectomy have greatly expanded. Current techniques include pedicle flaps and free tissue transfers. With the advent of perforator flaps, additional options have become available that have the advantage of reduced donor site morbidity. The purpose of this manuscript is to review the most common methods of breast reconstruction using autologous tissues.

Zusammenfassung

Die Möglichkeiten der Brustrekonstruktion mit körpereigenem Gewebe wurden in den letzten Jahren deutlich erweitert. Aktuell stehen verschiedene gestielte und freie, mikrovaskulär reanastomosierte Lappenplastiken zur Verfügung. Durch die Entwicklung der Perforans-Lappenplastiken kamen zusätzliche Lappenplastiken hinzu, die vor allem den Vorteil eines geringeren Hebedefekts aufweisen. Ziel der vorliegenden Arbeit ist es, eine Übersicht über die am häufigsten angewandten Lappenplastiken in der Brustrekonstruktion mit körpereigenem Gewebe zu geben.

References

  • 1 Ahmadzadeh R, Bergeron L, Tang M, Morris S. The superior and inferior gluteal artery perforator flaps.  Plast Reconstr Surg. 2007;  120 1551-1556
  • 2 Allen R J, Levine J L, Granzow J W. The in-the-crease inferior gluteal artery perforator flap for breast reconstruction.  Plast Reconstr Surg. 2006;  118 333-339
  • 3 Alonso-Burgos A, Garcia-Totor E, Bastarrika G, Cano D, Martínez-Cuesta A, Pina L J. Preoperative planning of deep inferior epigastric artery perforator flap reconstruction with multislice-CT angiography: imaging findings and initial experience.  J Plast Reconstr Aesthet Surg. 2006;  59 585-593
  • 4 Blondeel P N, Van Landuyt K HI, Monstrey S JM, Hamdi M, Matton G E, Allen R J, Dupin C, Feller A M, Koshima I, Kostakoglu N, Wei F C. The “Gent” consensus on perforator flap terminology: preliminary definitions.  Plast Reconstr Surg. 2003;  112 1378-1383
  • 5 Blondeel P N, Arnstein M, Verstraete K, Depuydt K, Van Landuyt K H, Monstrey S, Kroll S S. Venous congestion and blood flow in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps.  Plast Reconstr Surg. 2000;  106 1295-1299
  • 6 Chang D W, Wang B-G, Robb G L, Reece G P, Miller M J, Evans G RD, Langstein H N, Kroll S S. Effect of obesity of flap and donor site complications in free TRAM flap breast reconstruction.  Plast Reconstr Surg. 2000;  105 1640-1648
  • 7 Chevray P M. Brest reconstruction with superficial inferior epigastric artery flaps: a prospective comparison with TRAM and DIEP flaps.  Plast Reconstr Surg. 2004;  114 1077-1083
  • 8 Garvey P B, Buchel E W, Pockaj B A, Gray R J, Samson T D. The deep inferior epigastric perforator flap in overweight and obese patients.  Plast Reconstr Surg. 2005;  115 447-457
  • 9 Guerra A B, Metzinger S E, Bidros R S, Gill P S, Dupin C A, Allen R J. Breast reconstruction with gluteal artery perforator flaps: a critical analysis of 142 flaps.  Ann Plast Surg. 2004;  52 118-124
  • 10 Hamdi M, Wolfi J, Van Landuyt K. Partial mastectomy reconstruction.  Clin Plast Surg. 2007;  34 51-62
  • 11 Heitmann C, Guerra A, Metzinger S W, Levin L S, Allen R J. The thoracodorsal artery perforator flap: anatomic basis and clinical applications.  Ann Plast Surg. 2003;  51 23-29
  • 12 Holm C, Mayr M, Hofter E, Ninkivic M. The versatility of the SIEA flap: a clinical assessment of the vascular territory of the superficial epigastric inferior artery.  J Plast Reconstr Aesthet Surg. 2007;  60 946-951
  • 13 Nahabedian M Y. Secondary operations of the anterior abdominal wall following microvascular breast reconstruction with the TRAM and DIEP flaps.  Plast Reconstr Surg. 2007;  120 365-372
  • 14 Nahabedian M Y. The internal mammary artery and vein as recipient vessels for microvascular breast reconstruction: are we burning a future bridge?.  Ann Plast Surg. 2004;  53 311-316
  • 15 Nahabedian M Y, Dooley W, Singh N, Manson P N. Contour abnormalities of the abdomen following breast reconstruction with abdominal flaps: the role of muscle preservation.  Plast Reconstr Surg. 2002;  109 91-101
  • 16 Nahabedian M Y, Manson P N. Contour abnormalities of the abdomen following TRAM flap breast reconstruction: a multifactorial analysis.  Plast Reconstr Surg. 2002;  109 81-87
  • 17 Nahabedian M Y, Momen B. Lower abdominal bulge after DIEP flap breast reconstruction.  Ann Plast Surg. 2005;  54 124-129
  • 18 Nahabedian M Y, Momen B, Galdino G, Manson P N. Breast reconstruction with the free TRAM or DIEP flap: patient selection, choice of flap, and outcome.  Plast Reconstr Surg. 2002;  110 466-475
  • 19 Nahabedian M Y, Momen B, Tsangaris T. Breast reconstruction with the muscle sparing (MS‐2) free TRAM and the DIEP flap: is there a difference?.  Plast Reconstr Surg. 2005;  115 436-444
  • 20 Nahabedian M Y, Momen B, Manson P N. Factors associated with anastomotic failure following microvascular reconstruction of the breast.  Plast Reconstr Surg. 2004;  114 74-82
  • 21 Rosson G D, Williams C G, Fishman E K, Singh N K. 3D CT angiography of abdominal wall vascular perforators to plan DIEAP flaps.  Microsurgery. 2007;  27 641-646
  • 22 Selber J, Vega S, Sonnad S, Serletti J. Comparing the SIEA and muscle sparing free TRAM: is the rate of flap loss worth the gains in abdominal wall function? Proceedings of the 86th Annual Meeting of the American Association of Plastic Surgeons. Coeur d’Alene, Idaho, USA, May 19 – 22, 2007. 

MD, FACS Maurice Y. Nahabedian

Department of Plastic Surgery
Georgetown University Hospital

3800 Reservoir Rd, NW, 1st floor PHC

Washington, DC 20007

USA

Email: drnahabedian@aol.com

    >