Breast Reconstruction Using the Geometrically Modified Profunda Artery Perforator Flap From the Posteromedial Thigh Region: Combining the Benefits of Its Predecessors.
Identifieur interne : 000A34 ( PubMed/Checkpoint ); précédent : 000A33; suivant : 000A35Breast Reconstruction Using the Geometrically Modified Profunda Artery Perforator Flap From the Posteromedial Thigh Region: Combining the Benefits of Its Predecessors.
Auteurs : Pieter Hupkens [Pays-Bas] ; Marijn Hameeteman ; Pèdrou B. Westland ; Nicholas J. Slater ; Dalibor Vasilic ; Dietmar J O. UlrichSource :
- Annals of plastic surgery [ 1536-3708 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- blood supply : Perforator Flap, Thigh.
- methods : Mammaplasty.
- surgery : Arteries, Thigh.
- Adult, Female, Follow-Up Studies, Humans, Middle Aged, Outcome Assessment (Health Care), Prospective Studies.
Abstract
Occasionally, the deep inferior epigastric perforator flap is unavailable for autologous breast reconstruction. Alternative options, such as gluteal artery perforator flaps, the transverse upper gracilis flap, and the profunda artery perforator (PAP) flap, have been well documented. In our initial experience, the PAP flap was associated with limitations at the donor site. Therefore, a geometrically modified PAP flap was evaluated.
DOI: 10.1097/SAP.0000000000000619
PubMed: 26418785
Affiliations:
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Westland</name></author><author><name sortKey="Slater, Nicholas J" sort="Slater, Nicholas J" uniqKey="Slater N" first="Nicholas J" last="Slater">Nicholas J. Slater</name></author><author><name sortKey="Vasilic, Dalibor" sort="Vasilic, Dalibor" uniqKey="Vasilic D" first="Dalibor" last="Vasilic">Dalibor Vasilic</name></author><author><name sortKey="Ulrich, Dietmar J O" sort="Ulrich, Dietmar J O" uniqKey="Ulrich D" first="Dietmar J O" last="Ulrich">Dietmar J O. Ulrich</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:26418785</idno><idno type="pmid">26418785</idno><idno type="doi">10.1097/SAP.0000000000000619</idno><idno type="wicri:Area/PubMed/Corpus">000C08</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000C08</idno><idno type="wicri:Area/PubMed/Curation">000C08</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000C08</idno><idno type="wicri:Area/PubMed/Checkpoint">000C08</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000C08</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Breast Reconstruction Using the Geometrically Modified Profunda Artery Perforator Flap From the Posteromedial Thigh Region: Combining the Benefits of Its Predecessors.</title><author><name sortKey="Hupkens, Pieter" sort="Hupkens, Pieter" uniqKey="Hupkens P" first="Pieter" last="Hupkens">Pieter Hupkens</name><affiliation wicri:level="3"><nlm:affiliation>From the Department of Plastic and Reconstructive Surgery, Radboud University Medical Center (Radboudumc), Geert Grooteplein-Zuid 10, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>From the Department of Plastic and Reconstructive Surgery, Radboud University Medical Center (Radboudumc), Geert Grooteplein-Zuid 10, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Hameeteman, Marijn" sort="Hameeteman, Marijn" uniqKey="Hameeteman M" first="Marijn" last="Hameeteman">Marijn Hameeteman</name></author><author><name sortKey="Westland, Pedrou B" sort="Westland, Pedrou B" uniqKey="Westland P" first="Pèdrou B" last="Westland">Pèdrou B. Westland</name></author><author><name sortKey="Slater, Nicholas J" sort="Slater, Nicholas J" uniqKey="Slater N" first="Nicholas J" last="Slater">Nicholas J. Slater</name></author><author><name sortKey="Vasilic, Dalibor" sort="Vasilic, Dalibor" uniqKey="Vasilic D" first="Dalibor" last="Vasilic">Dalibor Vasilic</name></author><author><name sortKey="Ulrich, Dietmar J O" sort="Ulrich, Dietmar J O" uniqKey="Ulrich D" first="Dietmar J O" last="Ulrich">Dietmar J O. Ulrich</name></author></analytic><series><title level="j">Annals of plastic surgery</title><idno type="eISSN">1536-3708</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Arteries (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Mammaplasty (methods)</term><term>Middle Aged</term><term>Outcome Assessment (Health Care)</term><term>Perforator Flap (blood supply)</term><term>Prospective Studies</term><term>Thigh (blood supply)</term><term>Thigh (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Artères ()</term><term>Cuisse ()</term><term>Femelle</term><term>Humains</term><term>Lambeau perforant ()</term><term>Mammoplastie ()</term><term>Études de suivi</term><term>Études prospectives</term><term>Évaluation de résultat (soins)</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Perforator Flap</term><term>Thigh</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arteries</term><term>Thigh</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Outcome Assessment (Health Care)</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Artères</term><term>Cuisse</term><term>Femelle</term><term>Humains</term><term>Lambeau perforant</term><term>Mammoplastie</term><term>Études de suivi</term><term>Études prospectives</term><term>Évaluation de résultat (soins)</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Occasionally, the deep inferior epigastric perforator flap is unavailable for autologous breast reconstruction. Alternative options, such as gluteal artery perforator flaps, the transverse upper gracilis flap, and the profunda artery perforator (PAP) flap, have been well documented. In our initial experience, the PAP flap was associated with limitations at the donor site. Therefore, a geometrically modified PAP flap was evaluated.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26418785</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>15</Day></DateCreated><DateCompleted><Year>2017</Year><Month>09</Month><Day>13</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-3708</ISSN><JournalIssue CitedMedium="Internet"><Volume>77</Volume><Issue>4</Issue><PubDate><Year>2016</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Annals of plastic surgery</Title><ISOAbbreviation>Ann Plast Surg</ISOAbbreviation></Journal><ArticleTitle>Breast Reconstruction Using the Geometrically Modified Profunda Artery Perforator Flap From the Posteromedial Thigh Region: Combining the Benefits of Its Predecessors.</ArticleTitle><Pagination><MedlinePgn>438-44</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/SAP.0000000000000619</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Occasionally, the deep inferior epigastric perforator flap is unavailable for autologous breast reconstruction. Alternative options, such as gluteal artery perforator flaps, the transverse upper gracilis flap, and the profunda artery perforator (PAP) flap, have been well documented. In our initial experience, the PAP flap was associated with limitations at the donor site. Therefore, a geometrically modified PAP flap was evaluated.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Forty geometrically modified PAP flap reconstructions were performed on 30 patients. Our modification comprised flap harvest from a more cranial area, hereby adding abundant inferior gluteal tissue to the flap while sparing superior thigh tissue. Patient characteristics, anatomical variables, and clinical outcome were prospectively evaluated.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean patient age was 44 years, and mean body mass index (BMI) was 23.3 kg/m. Mean flap size was 32 × 12 cm, and mean weight was 385 g. Mean number of suitable perforators (diameter ≥ 0.5 mm) in the adductor magnus area was 1.7 per thigh. All flaps survived completely. Wound dehiscence at the donor site occurred after 4 unilateral reconstructions. Transient lymphedema of the leg occurred after 4 other unilateral reconstructions. Other wound morbidity or systemic complications did not occur. Secondary breast surgery for symmetry and volume was indicated after 16 reconstructions. Preoperative bra size was unchanged or larger in 36 reconstructions. Scar position in the crease was achieved after 39 reconstructions. Sensibility changes of the posteromedial thigh region were not observed.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The geometrically modified PAP flap ensures in-the-crease scar positioning and provides sufficient tissue to restore preoperative bra size.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hupkens</LastName><ForeName>Pieter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>From the Department of Plastic and Reconstructive Surgery, Radboud University Medical Center (Radboudumc), Geert Grooteplein-Zuid 10, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hameeteman</LastName><ForeName>Marijn</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Westland</LastName><ForeName>Pèdrou B</ForeName><Initials>PB</Initials></Author><Author ValidYN="Y"><LastName>Slater</LastName><ForeName>Nicholas J</ForeName><Initials>NJ</Initials></Author><Author ValidYN="Y"><LastName>Vasilic</LastName><ForeName>Dalibor</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Ulrich</LastName><ForeName>Dietmar J O</ForeName><Initials>DJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Plast Surg</MedlineTA><NlmUniqueID>7805336</NlmUniqueID><ISSNLinking>0148-7043</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001158" MajorTopicYN="N">Arteries</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016462" MajorTopicYN="N">Mammaplasty</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment (Health Care)</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061525" MajorTopicYN="N">Perforator Flap</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013848" MajorTopicYN="N">Thigh</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>9</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>9</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26418785</ArticleId><ArticleId IdType="doi">10.1097/SAP.0000000000000619</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country><region><li>Gueldre</li></region><settlement><li>Nimègue</li></settlement></list><tree><noCountry><name sortKey="Hameeteman, Marijn" sort="Hameeteman, Marijn" uniqKey="Hameeteman M" first="Marijn" last="Hameeteman">Marijn Hameeteman</name><name sortKey="Slater, Nicholas J" sort="Slater, Nicholas J" uniqKey="Slater N" first="Nicholas J" last="Slater">Nicholas J. Slater</name><name sortKey="Ulrich, Dietmar J O" sort="Ulrich, Dietmar J O" uniqKey="Ulrich D" first="Dietmar J O" last="Ulrich">Dietmar J O. Ulrich</name><name sortKey="Vasilic, Dalibor" sort="Vasilic, Dalibor" uniqKey="Vasilic D" first="Dalibor" last="Vasilic">Dalibor Vasilic</name><name sortKey="Westland, Pedrou B" sort="Westland, Pedrou B" uniqKey="Westland P" first="Pèdrou B" last="Westland">Pèdrou B. Westland</name></noCountry><country name="Pays-Bas"><region name="Gueldre"><name sortKey="Hupkens, Pieter" sort="Hupkens, Pieter" uniqKey="Hupkens P" first="Pieter" last="Hupkens">Pieter Hupkens</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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