Perforator Flaps: Recent Experience, Current Trends, and Future Directions Based on 3974 Microsurgical Breast Reconstructions
Perforator flap breast reconstruction is an accepted surgical option for breast cancer patients electing to restore their body image after mastectomy. Since the introduction of the deep inferior epigastric perforator flap, microsurgical techniques have evolved to support a 99 percent success rate fo...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2009-09, Vol.124 (3), p.737-751 |
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| container_title | Plastic and reconstructive surgery (1963) |
| container_volume | 124 |
| creator | Massey, Marga F. Spiegel, Aldona J. Levine, Joshua L. Craigie, James E. Kline, Richard M. Khoobehi, Kamran Erhard, Heather Greenspun, David T. Allen, Robert J. Allen, Robert J. |
| description | Perforator flap breast reconstruction is an accepted surgical option for breast cancer patients electing to restore their body image after mastectomy. Since the introduction of the deep inferior epigastric perforator flap, microsurgical techniques have evolved to support a 99 percent success rate for a variety of flaps with donor sites that include the abdomen, buttock, thigh, and trunk. Recent experience highlights the perforator flap as a proven solution for patients who have experienced failed breast implant-based reconstructions or those requiring irradiation. Current trends suggest an application of these techniques in patients previously felt to be unacceptable surgical candidates with a focus on safety, aesthetics, and increased sensitization. Future challenges include the propagation of these reconstructive techniques into the hands of future plastic surgeons with a focus on the development of septocutaneous flaps and vascularized lymph node transfers for the treatment of lymphedema. |
| doi_str_mv | 10.1097/PRS.0b013e3181b17a56 |
| format | Article |
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Since the introduction of the deep inferior epigastric perforator flap, microsurgical techniques have evolved to support a 99 percent success rate for a variety of flaps with donor sites that include the abdomen, buttock, thigh, and trunk. Recent experience highlights the perforator flap as a proven solution for patients who have experienced failed breast implant-based reconstructions or those requiring irradiation. Current trends suggest an application of these techniques in patients previously felt to be unacceptable surgical candidates with a focus on safety, aesthetics, and increased sensitization. Future challenges include the propagation of these reconstructive techniques into the hands of future plastic surgeons with a focus on the development of septocutaneous flaps and vascularized lymph node transfers for the treatment of lymphedema.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/PRS.0b013e3181b17a56</identifier><identifier>PMID: 19730293</identifier><language>eng</language><publisher>Hagerstown, MD: American Society of Plastic Surgeons</publisher><subject>Biological and medical sciences ; Breast Neoplasms - radiotherapy ; Breast Neoplasms - surgery ; Esthetics ; Female ; Humans ; Mammaplasty - adverse effects ; Mammaplasty - methods ; Mammaplasty - trends ; Mastectomy ; Medical sciences ; Microsurgery ; Reoperation ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Since the introduction of the deep inferior epigastric perforator flap, microsurgical techniques have evolved to support a 99 percent success rate for a variety of flaps with donor sites that include the abdomen, buttock, thigh, and trunk. Recent experience highlights the perforator flap as a proven solution for patients who have experienced failed breast implant-based reconstructions or those requiring irradiation. Current trends suggest an application of these techniques in patients previously felt to be unacceptable surgical candidates with a focus on safety, aesthetics, and increased sensitization. Future challenges include the propagation of these reconstructive techniques into the hands of future plastic surgeons with a focus on the development of septocutaneous flaps and vascularized lymph node transfers for the treatment of lymphedema.</description><subject>Biological and medical sciences</subject><subject>Breast Neoplasms - radiotherapy</subject><subject>Breast Neoplasms - surgery</subject><subject>Esthetics</subject><subject>Female</subject><subject>Humans</subject><subject>Mammaplasty - adverse effects</subject><subject>Mammaplasty - methods</subject><subject>Mammaplasty - trends</subject><subject>Mastectomy</subject><subject>Medical sciences</subject><subject>Microsurgery</subject><subject>Reoperation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. 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Future challenges include the propagation of these reconstructive techniques into the hands of future plastic surgeons with a focus on the development of septocutaneous flaps and vascularized lymph node transfers for the treatment of lymphedema.</abstract><cop>Hagerstown, MD</cop><pub>American Society of Plastic Surgeons</pub><pmid>19730293</pmid><doi>10.1097/PRS.0b013e3181b17a56</doi><tpages>15</tpages></addata></record> |
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| ispartof | Plastic and reconstructive surgery (1963), 2009-09, Vol.124 (3), p.737-751 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Breast Neoplasms - radiotherapy Breast Neoplasms - surgery Esthetics Female Humans Mammaplasty - adverse effects Mammaplasty - methods Mammaplasty - trends Mastectomy Medical sciences Microsurgery Reoperation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - blood supply |
| title | Perforator Flaps: Recent Experience, Current Trends, and Future Directions Based on 3974 Microsurgical Breast Reconstructions |
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