The transverse upper gracilis flap: Efficiencies and design tips
Identifieur interne : 006174 ( Ncbi/Merge ); précédent : 006173; suivant : 006175The transverse upper gracilis flap: Efficiencies and design tips
Auteurs : Edward W. Buchel ; Kimberly R. Dalke ; Thomas Ej HayakawaSource :
- The Canadian Journal of Plastic Surgery [ 1195-2199 ] ; 2013.
Abstract
The transverse upper gracilis free flap is a well-described option for breast reconstruction. The technique is a secondary choice for autologous breast reconstruction because the abdomen remains the primary donor site for breast reconstruction. However, in appropriately selected patients, the authors believe that the transverse upper gracilis flap remains a reliable flap for breast reconstruction. Its consistent anatomy, potentially reasonable donor site scar, limited functional morbidity and simultaneous two-team surgical approach make this flap a viable option for many patients. The technique, however, is not without drawbacks – known numbness of the medial thigh and the potential for chronic lymphedema of the lower leg, contour deformities of the medial thigh, and widening of the medial thigh scar need to be considered.
The current article presents a harvest technique that is reliable, rapid and addresses each of the above-mentioned limitations with specific changes in the traditional technique. The article provides video documentation of the modified harvest technique using only monopolar cautery for the dissection.
Url:
PubMed: 24421647
PubMed Central: 3805637
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002D22
- to stream Pmc, to step Curation: 002D21
- to stream Pmc, to step Checkpoint: 001F01
- to stream PubMed, to step Corpus: 001728
- to stream PubMed, to step Curation: 001728
- to stream PubMed, to step Checkpoint: 001728
Links to Exploration step
PMC:3805637Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The transverse upper gracilis flap: Efficiencies and design tips</title><author><name sortKey="Buchel, Edward W" sort="Buchel, Edward W" uniqKey="Buchel E" first="Edward W" last="Buchel">Edward W. Buchel</name></author><author><name sortKey="Dalke, Kimberly R" sort="Dalke, Kimberly R" uniqKey="Dalke K" first="Kimberly R" last="Dalke">Kimberly R. Dalke</name></author><author><name sortKey="Hayakawa, Thomas Ej" sort="Hayakawa, Thomas Ej" uniqKey="Hayakawa T" first="Thomas Ej" last="Hayakawa">Thomas Ej Hayakawa</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24421647</idno><idno type="pmc">3805637</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3805637</idno><idno type="RBID">PMC:3805637</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002D22</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D22</idno><idno type="wicri:Area/Pmc/Curation">002D21</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D21</idno><idno type="wicri:Area/Pmc/Checkpoint">001F01</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001F01</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">001728</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001728</idno><idno type="wicri:Area/PubMed/Curation">001728</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001728</idno><idno type="wicri:Area/PubMed/Checkpoint">001728</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001728</idno><idno type="wicri:Area/Ncbi/Merge">006174</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The transverse upper gracilis flap: Efficiencies and design tips</title><author><name sortKey="Buchel, Edward W" sort="Buchel, Edward W" uniqKey="Buchel E" first="Edward W" last="Buchel">Edward W. Buchel</name></author><author><name sortKey="Dalke, Kimberly R" sort="Dalke, Kimberly R" uniqKey="Dalke K" first="Kimberly R" last="Dalke">Kimberly R. Dalke</name></author><author><name sortKey="Hayakawa, Thomas Ej" sort="Hayakawa, Thomas Ej" uniqKey="Hayakawa T" first="Thomas Ej" last="Hayakawa">Thomas Ej Hayakawa</name></author></analytic><series><title level="j">The Canadian Journal of Plastic Surgery</title><idno type="ISSN">1195-2199</idno><idno type="eISSN">1918-1507</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The transverse upper gracilis free flap is a well-described option for breast reconstruction. The technique is a secondary choice for autologous breast reconstruction because the abdomen remains the primary donor site for breast reconstruction. However, in appropriately selected patients, the authors believe that the transverse upper gracilis flap remains a reliable flap for breast reconstruction. Its consistent anatomy, potentially reasonable donor site scar, limited functional morbidity and simultaneous two-team surgical approach make this flap a viable option for many patients. The technique, however, is not without drawbacks – known numbness of the medial thigh and the potential for chronic lymphedema of the lower leg, contour deformities of the medial thigh, and widening of the medial thigh scar need to be considered.</p><p>The current article presents a harvest technique that is reliable, rapid and addresses each of the above-mentioned limitations with specific changes in the traditional technique. The article provides video documentation of the modified harvest technique using only monopolar cautery for the dissection.</p></div></front></TEI><double pmid="24421647"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The transverse upper gracilis flap: Efficiencies and design tips</title><author><name sortKey="Buchel, Edward W" sort="Buchel, Edward W" uniqKey="Buchel E" first="Edward W" last="Buchel">Edward W. Buchel</name></author><author><name sortKey="Dalke, Kimberly R" sort="Dalke, Kimberly R" uniqKey="Dalke K" first="Kimberly R" last="Dalke">Kimberly R. Dalke</name></author><author><name sortKey="Hayakawa, Thomas Ej" sort="Hayakawa, Thomas Ej" uniqKey="Hayakawa T" first="Thomas Ej" last="Hayakawa">Thomas Ej Hayakawa</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24421647</idno><idno type="pmc">3805637</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3805637</idno><idno type="RBID">PMC:3805637</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002D22</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D22</idno><idno type="wicri:Area/Pmc/Curation">002D21</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D21</idno><idno type="wicri:Area/Pmc/Checkpoint">001F01</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001F01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The transverse upper gracilis flap: Efficiencies and design tips</title><author><name sortKey="Buchel, Edward W" sort="Buchel, Edward W" uniqKey="Buchel E" first="Edward W" last="Buchel">Edward W. Buchel</name></author><author><name sortKey="Dalke, Kimberly R" sort="Dalke, Kimberly R" uniqKey="Dalke K" first="Kimberly R" last="Dalke">Kimberly R. Dalke</name></author><author><name sortKey="Hayakawa, Thomas Ej" sort="Hayakawa, Thomas Ej" uniqKey="Hayakawa T" first="Thomas Ej" last="Hayakawa">Thomas Ej Hayakawa</name></author></analytic><series><title level="j">The Canadian Journal of Plastic Surgery</title><idno type="ISSN">1195-2199</idno><idno type="eISSN">1918-1507</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The transverse upper gracilis free flap is a well-described option for breast reconstruction. The technique is a secondary choice for autologous breast reconstruction because the abdomen remains the primary donor site for breast reconstruction. However, in appropriately selected patients, the authors believe that the transverse upper gracilis flap remains a reliable flap for breast reconstruction. Its consistent anatomy, potentially reasonable donor site scar, limited functional morbidity and simultaneous two-team surgical approach make this flap a viable option for many patients. The technique, however, is not without drawbacks – known numbness of the medial thigh and the potential for chronic lymphedema of the lower leg, contour deformities of the medial thigh, and widening of the medial thigh scar need to be considered.</p><p>The current article presents a harvest technique that is reliable, rapid and addresses each of the above-mentioned limitations with specific changes in the traditional technique. The article provides video documentation of the modified harvest technique using only monopolar cautery for the dissection.</p></div></front></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The transverse upper gracilis flap: Efficiencies and design tips.</title><author><name sortKey="Buchel, Edward W" sort="Buchel, Edward W" uniqKey="Buchel E" first="Edward W" last="Buchel">Edward W. Buchel</name><affiliation wicri:level="4"><nlm:affiliation>Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba.</nlm:affiliation><orgName type="university">Université du Manitoba</orgName><country>Canada</country><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Dalke, Kimberly R" sort="Dalke, Kimberly R" uniqKey="Dalke K" first="Kimberly R" last="Dalke">Kimberly R. Dalke</name><affiliation wicri:level="4"><nlm:affiliation>Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba.</nlm:affiliation><orgName type="university">Université du Manitoba</orgName><country>Canada</country><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Hayakawa, Thomas Ej" sort="Hayakawa, Thomas Ej" uniqKey="Hayakawa T" first="Thomas Ej" last="Hayakawa">Thomas Ej Hayakawa</name><affiliation wicri:level="4"><nlm:affiliation>Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba.</nlm:affiliation><orgName type="university">Université du Manitoba</orgName><country>Canada</country><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24421647</idno><idno type="pmid">24421647</idno><idno type="wicri:Area/PubMed/Corpus">001728</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001728</idno><idno type="wicri:Area/PubMed/Curation">001728</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001728</idno><idno type="wicri:Area/PubMed/Checkpoint">001728</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001728</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The transverse upper gracilis flap: Efficiencies and design tips.</title><author><name sortKey="Buchel, Edward W" sort="Buchel, Edward W" uniqKey="Buchel E" first="Edward W" last="Buchel">Edward W. Buchel</name><affiliation wicri:level="4"><nlm:affiliation>Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba.</nlm:affiliation><orgName type="university">Université du Manitoba</orgName><country>Canada</country><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Dalke, Kimberly R" sort="Dalke, Kimberly R" uniqKey="Dalke K" first="Kimberly R" last="Dalke">Kimberly R. Dalke</name><affiliation wicri:level="4"><nlm:affiliation>Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba.</nlm:affiliation><orgName type="university">Université du Manitoba</orgName><country>Canada</country><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Hayakawa, Thomas Ej" sort="Hayakawa, Thomas Ej" uniqKey="Hayakawa T" first="Thomas Ej" last="Hayakawa">Thomas Ej Hayakawa</name><affiliation wicri:level="4"><nlm:affiliation>Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba.</nlm:affiliation><orgName type="university">Université du Manitoba</orgName><country>Canada</country><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author></analytic><series><title level="j">The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique</title><idno type="ISSN">1195-2199</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The transverse upper gracilis free flap is a well-described option for breast reconstruction. The technique is a secondary choice for autologous breast reconstruction because the abdomen remains the primary donor site for breast reconstruction. However, in appropriately selected patients, the authors believe that the transverse upper gracilis flap remains a reliable flap for breast reconstruction. Its consistent anatomy, potentially reasonable donor site scar, limited functional morbidity and simultaneous two-team surgical approach make this flap a viable option for many patients. The technique, however, is not without drawbacks - known numbness of the medial thigh and the potential for chronic lymphedema of the lower leg, contour deformities of the medial thigh, and widening of the medial thigh scar need to be considered. The current article presents a harvest technique that is reliable, rapid and addresses each of the above-mentioned limitations with specific changes in the traditional technique. The article provides video documentation of the modified harvest technique using only monopolar cautery for the dissection.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Ncbi/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 006174 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd -nk 006174 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Ncbi
|étape= Merge
|type= RBID
|clé= PMC:3805637
|texte= The transverse upper gracilis flap: Efficiencies and design tips
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i -Sk "pubmed:24421647" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |