The combined transverse upper gracilis and profunda artery perforator (TUGPAP) flap for breast reconstruction.

摘要: Background Surgical options for breast reconstruction include alloplastic and autogenous reconstructions. In autologous cases where the abdomen is not a suitable primary donor site, secondary sites such as thigh or buttock are considered. The aim of this report to describe novel approach, combined transverse upper gracilis profunda artery perforator (TUGPAP) flap, aimed at medium large volume reconstruction, with single site used per breast. Methods Between January 2011 June 2013, 32 consecutive unilateral immediate were performed using free flaps. nine cases, patients had previously undergone abdominal surgery, therefore flaps excluded TUGPAP performed. flap consisted combination two well-described flaps: (TUG) (PAP) flap. All based on pedicles: ascending branch medial circumflex femoral (MCFA) TUG component, itself PAP component. Results The mean size harvested skin paddle was 28.6 × 8 cm2 (range, 27 7 30 9 cm2). average length pedicle cm 6–8 cm) 8.5–10 cm). survival rate 100% no re-exploration, partial loss. Post-operatively there one case persistent seroma, which managed conservatively. Conclusion With appropriate patient selection surgical technique could be valuable option an alternative method reconstruction. © 2015 Wiley Periodicals, Inc. Microsurgery, 2015.