Overview
What are the benefits of perforator flap breast reconstruction?
What is perforator flap breast reconstruction?
How prevalent is perforator flap breast reconstruction?
What are indications for perforator flap breast reconstruction?
What anatomy is relevant to a deep inferior epigastric perforator (DIEP) flap breast reconstruction?
What anatomy is relevant to a “body lift” perforator flap breast reconstruction?
What anatomy is relevant to a lumbar perforator flap breast reconstruction?
What anatomy is relevant to a lateral thigh flap breast reconstruction?
What anatomy is relevant to a thoracodorsal artery perforator flap breast reconstruction?
What anatomy is relevant to an intercostal artery perforator (ICAP) flap breast reconstruction?
When is perforator flap breast reconstruction contraindicated?
Workup
Which studies are indicated in the preoperative workup for perforator flap breast reconstruction?
What is the role of imaging studies in perforator flap breast reconstruction?
Treatment
What are the advantages of a deep inferior epigastric perforator (DIEP) flap breast reconstruction?
When is a superior and inferior gluteal artery perforator flap breast reconstruction performed?
When is a “body lift" perforator flap breast reconstruction performed?
When is a lumbar perforator flap breast reconstruction performed?
When is a lateral thigh flap breast reconstruction performed?
When is a thoracodorsal artery perforator (TDAP) flap breast reconstruction performed?
How is a deep inferior epigastric perforator (DIEP) flap breast reconstruction performed?
How is a stacked deep inferior epigastric perforator (DIEP) flap breast reconstruction performed?
How is a superficial inferior epigastric artery (SIEA) flap breast reconstruction performed?
How is a superior gluteal artery perforator (SGAP) flap breast reconstruction performed?
How is a thoracodorsal artery perforator (TDAP) flap breast reconstruction performed?
How is an intercostal artery perforator (ICAP) flap breast reconstruction performed?
What is included in the long-term monitoring following a perforator flap breast reconstruction?
What are the possible complications of perforator flap breast reconstruction?
What is the expected outcome of perforator flap breast reconstruction?
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Presurgical markings with location of deep inferior epigastric perforator (DIEP) and superficial inferior epigastric artery (SIEA) signal points depicted (as determined by Doppler ultrasonography).
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Superficial inferior epigastric vessels dissected out.
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Presurgical superior gluteal artery perforator (SGAP) flap donor-site markings with location of SGAP signal points depicted on left (as determined by Doppler ultrasonography). Postsurgical donor site appearance clothed on right.
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Perforating branches of deep inferior epigastric system dissected out.
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Before and after right skin-sparing mastectomy for invasive ductal carcinoma with immediate deep inferior epigastric perforator (DIEP) flap reconstruction and left mastopexy.
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Before and after bilateral prophylactic skin-sparing mastectomy with immediate deep inferior epigastric perforator (DIEP) flap reconstruction in a patient positive for the BRCA gene.
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Before and after bilateral mastectomy for ductal carcinoma in situ (DCIS) with immediate deep inferior epigastric perforator (DIEP) flap reconstruction.
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Before and after reconstruction of defect resulting from right lumpectomy and radiation with superior inferior epigastric artery (SIEA) flap and left mastopexy for symmetry.
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Before and after delayed bilateral reconstruction with superior gluteal artery perforator (SGAP) flaps.
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Before and after superior gluteal artery perforator (SGAP) flap donor site (same patient as in previous image).
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Implant reconstruction with painful capsular contracture (left) and after implant removal with superior gluteal artery perforator (SGAP) flap reconstruction bilateral (right).
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Before and after superior gluteal artery perforator (SGAP) flap donor site (same patient as in previous image).
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Before and after delayed bilateral reconstruction with superior gluteal artery perforator (SGAP) flaps. Abdominal scar results from abdominoplasty performed at second stage surgery.
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Before and after superior gluteal artery perforator (SGAP) flap donor site (same patient as in previous image).
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Stacked DIEP flap.
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Lumbar perforator dissected out.