[Breast reconstruction with profunda artery perforator flap: A prospective study of 30 consecutive cases].
Identifieur interne : 000911 ( PubMed/Curation ); précédent : 000910; suivant : 000912[Breast reconstruction with profunda artery perforator flap: A prospective study of 30 consecutive cases].
Auteurs : K. Haddad [France] ; V. Hunsinger [France] ; D. Obadia [France] ; M. Hivelin [France] ; L. Lantieri [France]Source :
- Annales de chirurgie plastique et esthetique [ 1768-319X ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- blood supply : Perforator Flap.
- methods : Mammaplasty.
- Adult, Aged, Female, Humans, Middle Aged, Prospective Studies.
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
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Hunsinger</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Obadia, D" sort="Obadia, D" uniqKey="Obadia D" first="D" last="Obadia">D. 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Hivelin</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Lantieri, L" sort="Lantieri, L" uniqKey="Lantieri L" first="L" last="Lantieri">L. 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Haddad</name><affiliation wicri:level="1"><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><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Hunsinger, V" sort="Hunsinger, V" uniqKey="Hunsinger V" first="V" last="Hunsinger">V. Hunsinger</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Obadia, D" sort="Obadia, D" uniqKey="Obadia D" first="D" last="Obadia">D. Obadia</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Hivelin, M" sort="Hivelin, M" uniqKey="Hivelin M" first="M" last="Hivelin">M. Hivelin</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Lantieri, L" sort="Lantieri, L" uniqKey="Lantieri L" first="L" last="Lantieri">L. Lantieri</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris</wicri:regionArea></affiliation></author></analytic><series><title level="j">Annales de chirurgie plastique et esthetique</title><idno type="eISSN">1768-319X</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>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></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lambeau perforant ()</term><term>Mammoplastie ()</term><term>Sujet âgé</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Perforator Flap</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lambeau perforant</term><term>Mammoplastie</term><term>Sujet âgé</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><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></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27016179</PMID><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><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1768-319X</ISSN><JournalIssue CitedMedium="Internet"><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></Journal><ArticleTitle>[Breast reconstruction with profunda artery perforator flap: A prospective study of 30 consecutive cases].</ArticleTitle><Pagination><MedlinePgn>169-76</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.anplas.2016.02.004</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0294-1260(16)30024-3</ELocationID><Abstract><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></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Haddad</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France. Electronic address: haddad.kev@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hunsinger</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Obadia</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hivelin</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lantieri</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Service de chirurgie plastique, reconstructrice et esthétique, hôpital George-Pompidou, 20, rue Leblanc, 75015 Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Reconstruction mammaire par profunda artery perforator flap : étude prospective des 30 premiers cas consécutifs.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2016</Year><Month>03</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Ann Chir Plast Esthet</MedlineTA><NlmUniqueID>8305839</NlmUniqueID><ISSNLinking>0294-1260</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</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="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></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Breast reconstruction</Keyword><Keyword MajorTopicYN="Y">Lambeau PAP</Keyword><Keyword MajorTopicYN="Y">Lambeau perforant</Keyword><Keyword MajorTopicYN="Y">PAP flap</Keyword><Keyword MajorTopicYN="Y">Perforator flap</Keyword><Keyword MajorTopicYN="Y">Reconstruction mammaire</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>01</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>02</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>3</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>3</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27016179</ArticleId><ArticleId IdType="pii">S0294-1260(16)30024-3</ArticleId><ArticleId IdType="doi">10.1016/j.anplas.2016.02.004</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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