Modifications to Extend the Transverse Upper Gracilis Flap in Breast Reconstruction: Clinical Series and Results

Saint-Cyr M, Wong C, Oni G, et al (Univ of Texas Southwestern Med Ctr, Dallas; Univ of Lyon, France) Plast Reconstr Surg 129:24e-36e, 2012^§

Abstract

Background

The transverse myocutaneous gracilis flap has traditionally been used to reconstruct smaller breasts. The authors have been performing autologous breast reconstruction utilizing the flap with two types of modifications to increase flap volume: an extended and a vertical extended flap. In this article, they discuss the different operative techniques and present a clinical series of both flap types.

Methods

A retrospective review of all patients undergoing either flap modification under the senior author (M.S.-C.) was performed. Data collated included pedicle artery and vein diameters, flap weight, and patient complications.

Results

Twenty-four transverse myocutaneous gracilis flaps were performed: 12 extended (seven patients) and 12 vertical flaps (six patients). The vertical group trended to have greater flap weights than the extended group. Mean flap weight was 385.75 g (range, 181 to 750 g) for the extended group and 469.75 g (range, 380 to 605 g) for the vertical group (p

Only gold members can continue reading. Log In or Register to continue

Share this:

• Click to share on Twitter (Opens in new window)
• Click to share on Facebook (Opens in new window)

Related

Related posts:

randomized placebo-controlled trial of oxybutynin for the initial treatment of palmar and axillary hyperhidrosis Invasive Component Separation Results in Fewer Wound-Healing Complications than Open Component Separation for Large Ventral Hernia Repairs to Basics: Understanding the Terminology Associated With Light- and Energy-Based Technology fifteen-year experience of buttock contouring with combination of silicone implant, liposuction, and structural fat grafting sural perforator plus island flap: A modification of the medial sural perforator island flap for the reconstruction of postburn knee flexion contractures using burned calf skin and Tribulations with the Inferior Gluteal Artery Perforator Flap in Autologous Breast Reconstruction

Stay updated, free articles. Join our Telegram channel

Join