Vascular variations of the transverse upper gracilis flap in consideration for breast reconstruction.
Identifieur interne : 001736 ( PubMed/Curation ); précédent : 001735; suivant : 001737Vascular variations of the transverse upper gracilis flap in consideration for breast reconstruction.
Auteurs : Noël Blythe Natoli [États-Unis] ; Liza C. WuSource :
- Annals of plastic surgery [ 1536-3708 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- abnormalities : Femoral Artery.
- blood supply : Myocutaneous Flap, Thigh.
- methods : Mammaplasty.
- surgery : Femoral Artery.
- Adult, Algorithms, Decision Support Techniques, Female, Humans, Middle Aged, Retrospective Studies.
Abstract
The transverse upper gracilis (TUG) myocutaneous flap has served as an alternative to abdominally based autologous breast reconstruction since its introduction by Yousif et al in 1992. The reliability of the overlying skin paddle of the gracilis myocutaneous flap depends on the perforator anatomy as well as the vascular pedicle. Although much attention recently has been given to variations in the septocutaneous as well as myocutaneous perforators, we believe that relevant variations in pedicle anatomy have been underappreciated. We would like to report our experience with pedicle variability.
DOI: 10.1097/01.sap.0000435501.19566.75
PubMed: 24401804
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Wu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:24401804</idno><idno type="pmid">24401804</idno><idno type="doi">10.1097/01.sap.0000435501.19566.75</idno><idno type="wicri:Area/PubMed/Corpus">001736</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001736</idno><idno type="wicri:Area/PubMed/Curation">001736</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001736</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Vascular variations of the transverse upper gracilis flap in consideration for breast reconstruction.</title><author><name sortKey="Natoli, Noel Blythe" sort="Natoli, Noel Blythe" uniqKey="Natoli N" first="Noël Blythe" last="Natoli">Noël Blythe Natoli</name><affiliation wicri:level="2"><nlm:affiliation>From the Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the Division of Plastic Surgery, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Wu, Liza C" sort="Wu, Liza C" uniqKey="Wu L" first="Liza C" last="Wu">Liza C. Wu</name></author></analytic><series><title level="j">Annals of plastic surgery</title><idno type="eISSN">1536-3708</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Algorithms</term><term>Decision Support Techniques</term><term>Female</term><term>Femoral Artery (abnormalities)</term><term>Femoral Artery (surgery)</term><term>Humans</term><term>Mammaplasty (methods)</term><term>Middle Aged</term><term>Myocutaneous Flap (blood supply)</term><term>Retrospective Studies</term><term>Thigh (blood supply)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Algorithmes</term><term>Artère fémorale ()</term><term>Artère fémorale (malformations)</term><term>Cuisse ()</term><term>Femelle</term><term>Humains</term><term>Lambeau musculo-cutané ()</term><term>Mammoplastie ()</term><term>Techniques d'aide à la décision</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Femoral Artery</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Myocutaneous Flap</term><term>Thigh</term></keywords><keywords scheme="MESH" qualifier="malformations" xml:lang="fr"><term>Artère fémorale</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femoral Artery</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Algorithms</term><term>Decision Support Techniques</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Algorithmes</term><term>Artère fémorale</term><term>Cuisse</term><term>Femelle</term><term>Humains</term><term>Lambeau musculo-cutané</term><term>Mammoplastie</term><term>Techniques d'aide à la décision</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The transverse upper gracilis (TUG) myocutaneous flap has served as an alternative to abdominally based autologous breast reconstruction since its introduction by Yousif et al in 1992. The reliability of the overlying skin paddle of the gracilis myocutaneous flap depends on the perforator anatomy as well as the vascular pedicle. Although much attention recently has been given to variations in the septocutaneous as well as myocutaneous perforators, we believe that relevant variations in pedicle anatomy have been underappreciated. We would like to report our experience with pedicle variability.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24401804</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>16</Day></DateCreated><DateCompleted><Year>2016</Year><Month>01</Month><Day>04</Day></DateCompleted><DateRevised><Year>2015</Year><Month>04</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-3708</ISSN><JournalIssue CitedMedium="Internet"><Volume>74</Volume><Issue>5</Issue><PubDate><Year>2015</Year><Month>May</Month></PubDate></JournalIssue><Title>Annals of plastic surgery</Title><ISOAbbreviation>Ann Plast Surg</ISOAbbreviation></Journal><ArticleTitle>Vascular variations of the transverse upper gracilis flap in consideration for breast reconstruction.</ArticleTitle><Pagination><MedlinePgn>528-31</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/01.sap.0000435501.19566.75</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The transverse upper gracilis (TUG) myocutaneous flap has served as an alternative to abdominally based autologous breast reconstruction since its introduction by Yousif et al in 1992. The reliability of the overlying skin paddle of the gracilis myocutaneous flap depends on the perforator anatomy as well as the vascular pedicle. Although much attention recently has been given to variations in the septocutaneous as well as myocutaneous perforators, we believe that relevant variations in pedicle anatomy have been underappreciated. We would like to report our experience with pedicle variability.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective review of records was performed on patients undergoing a TUG flap for autologous breast reconstruction from July 2006 and November 2011 by a single surgeon (L.C.W.).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 36 TUG flaps were performed on 24 patients. Twelve patients underwent bilateral simultaneous TUG reconstruction, and 12 patients underwent unilateral TUG reconstruction. Pedicle variability was found in 6 (17%) of 36 dissections. In 5.5% of dissections, there was a split pedicle and 11% were found to have a double main pedicle. There was 1 partial flap loss that resulted in a failed breast reconstruction. Four limbs had some degree of resultant lymphedema as a consequence of flap harvest.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Although still a viable alternative to abdominally based autologous reconstruction, we find that the variability of the main pedicle has been quite underestimated in earlier reports. We also present a logical algorithm for flap dissection when the microsurgeon encounters such aberrancies.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Natoli</LastName><ForeName>Noël Blythe</ForeName><Initials>NB</Initials><AffiliationInfo><Affiliation>From the Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Liza C</ForeName><Initials>LC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</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="D000465" MajorTopicYN="N">Algorithms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003661" MajorTopicYN="N">Decision Support Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005263" MajorTopicYN="N">Femoral Artery</DescriptorName><QualifierName UI="Q000002" MajorTopicYN="Y">abnormalities</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></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="D064827" MajorTopicYN="N">Myocutaneous Flap</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013848" MajorTopicYN="N">Thigh</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24401804</ArticleId><ArticleId IdType="doi">10.1097/01.sap.0000435501.19566.75</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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