Bilateral Breast Reconstruction from a Single Hemiabdomen Using Angiosome-Based Flap Design
Performing bilateral autologous breast reconstruction using the abdominal donor site usually entails harvesting one flap from each hemiabdomen. However, the overlapping vascular territories of the superior epigastric, deep inferior epigastric, superficial inferior epigastric, and superficial circumf...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2013-08, Vol.132 (2), p.291-294 |
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| container_title | Plastic and reconstructive surgery (1963) |
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| creator | Smith, Mark L. Gandolfi, Brad M. Dayan, Erez Clarke-Pearson, Emily M. Samson, William Sultan, Mark R. Dayan, Joseph H. |
| description | Performing bilateral autologous breast reconstruction using the abdominal donor site usually entails harvesting one flap from each hemiabdomen. However, the overlapping vascular territories of the superior epigastric, deep inferior epigastric, superficial inferior epigastric, and superficial circumflex iliac vessels make it theoretically possible to harvest two flaps based on vessels from one hemiabdomen. This may be useful in the obese patient, where one hemiabdomen may provide adequate tissue to reconstruct two breasts. The authors describe three clinical scenarios where they have used this principle, including the first reports in the literature of metachronous and synchronous bilateral breast reconstructions using two flaps based on pedicles from a single hemiabdomen.
Therapeutic, V. |
| doi_str_mv | 10.1097/PRS.0b013e31829587ca |
| format | Article |
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Therapeutic, V.</description><subject>Abdominal Wall - surgery</subject><subject>Breast Neoplasms - complications</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - surgery</subject><subject>Epigastric Arteries - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Rejection</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Mammaplasty - methods</subject><subject>Mastectomy - methods</subject><subject>Middle Aged</subject><subject>Obesity - complications</subject><subject>Perforator Flap - blood supply</subject><subject>Risk Assessment</subject><subject>Sampling Studies</subject><subject>Subcutaneous Fat, Abdominal - diagnostic imaging</subject><subject>Subcutaneous Fat, Abdominal - pathology</subject><subject>Tissue and Organ Harvesting - methods</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkF9rFTEQxYMo9lr9BiJ59GXrZJLsJo-9rbVCwdI_Tz6E7O7s7Wp2c012KX57I60WOjAMczhzBn6MvRdwJMA2ny6vro-gBSFJCoNWm6bzL9hGaLSVQoUv2QZAYiVA4wF7k_MPANHIWr9mByiNbSSaDfu-HYNfKPnAt4l8XvgVdXHOS1q7ZYwzH1KcuOfX47wLxM9pGn3bx4lmfpuLxo_n3RhzEaqtz9Tzs-D3_JTyuJvfsleDD5nePc5Ddnv2-ebkvLr49uXryfFF1UmNUKFuBQzWDgaBPJlG1wSybxsF0Pm681agR9XWre6NEbK2qAzWtu0HoQlJHrKPD7n7FH-tlBc3jbmjEPxMcc1OKFGDUg1gsaoHa5dizokGt0_j5NNvJ8D9xeoKVvccazn78PhhbSfq_x_94_iUex9DoZl_hvWekrsjH5Y7B6VqLVWFJRdM2arSAuQfWq2DRA</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Smith, Mark L.</creator><creator>Gandolfi, Brad M.</creator><creator>Dayan, Erez</creator><creator>Clarke-Pearson, Emily M.</creator><creator>Samson, William</creator><creator>Sultan, Mark R.</creator><creator>Dayan, Joseph H.</creator><general>American Society of Plastic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130801</creationdate><title>Bilateral Breast Reconstruction from a Single Hemiabdomen Using Angiosome-Based Flap Design</title><author>Smith, Mark L. ; Gandolfi, Brad M. ; Dayan, Erez ; Clarke-Pearson, Emily M. ; Samson, William ; Sultan, Mark R. ; Dayan, Joseph H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3520-25b10f99f820eae8756e03db7400ca6ca912a24b6b5d881369248269bdf15e2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abdominal Wall - surgery</topic><topic>Breast Neoplasms - complications</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - surgery</topic><topic>Epigastric Arteries - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Rejection</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Mammaplasty - methods</topic><topic>Mastectomy - methods</topic><topic>Middle Aged</topic><topic>Obesity - complications</topic><topic>Perforator Flap - blood supply</topic><topic>Risk Assessment</topic><topic>Sampling Studies</topic><topic>Subcutaneous Fat, Abdominal - diagnostic imaging</topic><topic>Subcutaneous Fat, Abdominal - pathology</topic><topic>Tissue and Organ Harvesting - methods</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Mark L.</creatorcontrib><creatorcontrib>Gandolfi, Brad M.</creatorcontrib><creatorcontrib>Dayan, Erez</creatorcontrib><creatorcontrib>Clarke-Pearson, Emily M.</creatorcontrib><creatorcontrib>Samson, William</creatorcontrib><creatorcontrib>Sultan, Mark R.</creatorcontrib><creatorcontrib>Dayan, Joseph H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Mark L.</au><au>Gandolfi, Brad M.</au><au>Dayan, Erez</au><au>Clarke-Pearson, Emily M.</au><au>Samson, William</au><au>Sultan, Mark R.</au><au>Dayan, Joseph H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral Breast Reconstruction from a Single Hemiabdomen Using Angiosome-Based Flap Design</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>132</volume><issue>2</issue><spage>291</spage><epage>294</epage><pages>291-294</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>Performing bilateral autologous breast reconstruction using the abdominal donor site usually entails harvesting one flap from each hemiabdomen. However, the overlapping vascular territories of the superior epigastric, deep inferior epigastric, superficial inferior epigastric, and superficial circumflex iliac vessels make it theoretically possible to harvest two flaps based on vessels from one hemiabdomen. This may be useful in the obese patient, where one hemiabdomen may provide adequate tissue to reconstruct two breasts. The authors describe three clinical scenarios where they have used this principle, including the first reports in the literature of metachronous and synchronous bilateral breast reconstructions using two flaps based on pedicles from a single hemiabdomen.
Therapeutic, V.</abstract><cop>United States</cop><pub>American Society of Plastic Surgeons</pub><pmid>23897328</pmid><doi>10.1097/PRS.0b013e31829587ca</doi><tpages>4</tpages></addata></record> |
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| ispartof | Plastic and reconstructive surgery (1963), 2013-08, Vol.132 (2), p.291-294 |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Abdominal Wall - surgery Breast Neoplasms - complications Breast Neoplasms - pathology Breast Neoplasms - surgery Epigastric Arteries - surgery Female Follow-Up Studies Graft Rejection Graft Survival Humans Magnetic Resonance Imaging - methods Mammaplasty - methods Mastectomy - methods Middle Aged Obesity - complications Perforator Flap - blood supply Risk Assessment Sampling Studies Subcutaneous Fat, Abdominal - diagnostic imaging Subcutaneous Fat, Abdominal - pathology Tissue and Organ Harvesting - methods Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Bilateral Breast Reconstruction from a Single Hemiabdomen Using Angiosome-Based Flap Design |
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