Transverse Upper Gracilis Flap with Implant In Postmastectomy Breast Reconstruction: a Case Report

Autologous flaps can be used in combination with prosthesis in postmastectomy breast reconstruction. The deep inferior epigastric perforator (DIEP) flap is considered the preferred choice among autologous tissue transfer techniques. However, in patients with a peculiar figure (moderately large breas...

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Bibliographic Details
Published in:Microsurgery 2014-02, Vol.34 (2), p.149-152
Main Authors: Trignano, Emilio, Fallico, Nefer, Dessy, Luca A., Armenti, Andrea F., Scuderi, NicolÒ, Rubino, Corrado, Ramakrishnan, Venkat
Format: Article
Language:English
Subjects:
Adult
Female
Humans
Mammaplasty - methods
Mastectomy
Muscle, Skeletal - transplantation
Surgical Flaps
Thigh
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Summary:Autologous flaps can be used in combination with prosthesis in postmastectomy breast reconstruction. The deep inferior epigastric perforator (DIEP) flap is considered the preferred choice among autologous tissue transfer techniques. However, in patients with a peculiar figure (moderately large breasts and large thighs with flat stomach), who cannot use their abdominal tissue, the transverse upper gracilis (TUG) flap with implant is investigated as a further option for breast reconstruction. This report presents a patient who underwent the TUG flap plus implant reconstruction. A bilateral skin‐sparing mastectomy was performed removing 340 g for each breast. The volume of the TUG flaps was 225 g (left) and 250 g (right). Preoperative volumes were restored by placing under the TUG muscle a round textured implant. No complications occurred during the postoperative period both in the recipient and donor site and the outcomes of the procedure were good. In cases where the use of the DIEP flap is not possible because of past laparotomies or inadequate abdominal volume, the TUG flap plus implant may be considered as a valid alternative. © 2013 Wiley Periodicals, Inc. Microsurgery 34:149–152, 2014.
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.22165