Perforator flaps: recent experience, current trends, and future directions based on 3974 microsurgical breast reconstructions.

Full Abstract

Perforator flap breast reconstruction is an accepted surgical option for breast cancer patients electing to restore their body image after mastectomy. Since the introduction of the deep inferior epigastric perforator flap, microsurgical techniques have evolved to support a 99 percent success rate for a variety of flaps with donor sites that include the abdomen, buttock, thigh, and trunk. Recent experience highlights the perforator flap as a proven solution for patients who have experienced failed breast implant-based reconstructions or those requiring irradiation. Current trends suggest an application of these techniques in patients previously felt to be unacceptable surgical candidates with a focus on safety, aesthetics, and increased sensitization. Future challenges include the propagation of these reconstructive techniques into the hands of future plastic surgeons with a focus on the development of septocutaneous flaps and vascularized lymph node transfers for the treatment of lymphedema.

Author information

Author/s: Massey, Marga F (MF); Spiegel, Aldona J (AJ); Levine, Joshua L (JL); Craigie, James E (JE); Kline, Richard M (RM); Khoobehi, Kamran (K); Erhard, Heather (H); Greenspun, David T (DT); Allen, Robert J (RJ); Allen, Robert J (RJ); Group for the Advancement of Breast Reconstruction;

Affiliation: The Dr. Marga Practice Group, 505 North Lake Shore Drive, Lake Point Tower Suite 214, Chicago, IL 60611, USA. me(-atsign-)drmarga.com

Grants: 1K12HD43449-01 (Agency:NICHD NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural

Journal: Plastic and reconstructive surgery (Plast Reconstr Surg), published in United States. (Language: eng)

Reference: 2009-Sep; vol 124 (issue 3) : pp 737-51

Dates: Created 2009/09/04; Completed 2009/09/23;

PMID: 19730293, status: MEDLINE (last retrieval date: 9/23/2009, IMS Date: )

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