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[Breast reconstruction with profunda artery perforator flap: A prospective study of 30 consecutive cases].

Identifieur interne : 000911 ( PubMed/Corpus ); précédent : 000910; suivant : 000912

[Breast reconstruction with profunda artery perforator flap: A prospective study of 30 consecutive cases].

Auteurs : K. Haddad ; V. Hunsinger ; D. Obadia ; M. Hivelin ; L. Lantieri

Source :

RBID : pubmed:27016179

English descriptors

Abstract

Many flaps have been described in autologous breast reconstruction, the most common being the deep inferior epigastric perforator (DIEP) flap. This flap cannot be harvested in a certain range of patients. The profunda artery perforator (PAP) flap, based on perforators from profunda femoral artery, is therefore a good option.

DOI: 10.1016/j.anplas.2016.02.004
PubMed: 27016179

Links to Exploration step

pubmed:27016179

Le document en format XML

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<title xml:lang="en">[Breast reconstruction with profunda artery perforator flap: A prospective study of 30 consecutive cases].</title>
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<name sortKey="Haddad, K" sort="Haddad, K" uniqKey="Haddad K" first="K" last="Haddad">K. Haddad</name>
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<nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France. Electronic address: haddad.kev@gmail.com.</nlm:affiliation>
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<name sortKey="Hunsinger, V" sort="Hunsinger, V" uniqKey="Hunsinger V" first="V" last="Hunsinger">V. Hunsinger</name>
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<nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation>
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<name sortKey="Obadia, D" sort="Obadia, D" uniqKey="Obadia D" first="D" last="Obadia">D. Obadia</name>
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<nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation>
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<name sortKey="Hivelin, M" sort="Hivelin, M" uniqKey="Hivelin M" first="M" last="Hivelin">M. Hivelin</name>
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<nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation>
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<name sortKey="Lantieri, L" sort="Lantieri, L" uniqKey="Lantieri L" first="L" last="Lantieri">L. Lantieri</name>
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<name sortKey="Obadia, D" sort="Obadia, D" uniqKey="Obadia D" first="D" last="Obadia">D. Obadia</name>
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<nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation>
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<name sortKey="Hivelin, M" sort="Hivelin, M" uniqKey="Hivelin M" first="M" last="Hivelin">M. Hivelin</name>
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<title level="j">Annales de chirurgie plastique et esthetique</title>
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<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Mammaplasty (methods)</term>
<term>Middle Aged</term>
<term>Perforator Flap (blood supply)</term>
<term>Prospective Studies</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Perforator Flap</term>
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<term>Mammaplasty</term>
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<term>Adult</term>
<term>Aged</term>
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<div type="abstract" xml:lang="en">Many flaps have been described in autologous breast reconstruction, the most common being the deep inferior epigastric perforator (DIEP) flap. This flap cannot be harvested in a certain range of patients. The profunda artery perforator (PAP) flap, based on perforators from profunda femoral artery, is therefore a good option.</div>
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<DateCreated>
<Year>2016</Year>
<Month>06</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>04</Month>
<Day>12</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>04</Month>
<Day>12</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1768-319X</ISSN>
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<Volume>61</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2016</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Annales de chirurgie plastique et esthetique</Title>
<ISOAbbreviation>Ann Chir Plast Esthet</ISOAbbreviation>
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<ArticleTitle>[Breast reconstruction with profunda artery perforator flap: A prospective study of 30 consecutive cases].</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Many flaps have been described in autologous breast reconstruction, the most common being the deep inferior epigastric perforator (DIEP) flap. This flap cannot be harvested in a certain range of patients. The profunda artery perforator (PAP) flap, based on perforators from profunda femoral artery, is therefore a good option.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The goal was to highlight technical tips, particularities, and complications of our series of the 30 first PAP flaps for breast reconstruction in our department.</AbstractText>
<AbstractText Label="PATIENTS AND METHOD" NlmCategory="METHODS">We did a prospective study of all PAP flaps for breast reconstruction between November 2014 and October 2015. Thirty patients were included. We used 2 different types of skin design: classical or with vertical extension. The following parameters were recorded: pedicle length, flap weight, surgery duration, complications on donor or recipient site and type of recipient vessels.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Seventy-seven percent of the cases were delayed breast reconstruction, 23% were immediate. Twenty-five flaps were with classical skin design, and 5 with vertical extension. Mean flap weight was 301g (195-700g). Mean pedicle length was 9.88cm (8.2-12.5cm). Internal mammary vessels were the recipient vessels for 90% of the patients, versus 10% for circumflex scapular vessels. Mean surgery duration was 328min (195-610min). We had two total flap failures. The complications on the donor-site were 2 seroma, and 4 late healing scars. No lymphoedema occurred.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">PAP flap is a good option when abdominal flap harvesting is not possible. The donor-site is well tolerated, with low morbidity. The indication is for patients with small to medium breast volume.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
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