Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis
The lumbar artery perforator (LAP) flap, which contains excess skin and fat tissue, love handles, that extends from the lower back to upper buttock, may provide an alternate tissue source for autologous breast reconstruction. However, LAP flap use during this procedure frequently requires vessel int...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2016-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182248 |
| _version_ | 1818419767311073280 |
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| author | Toshihiko Satake Reiko Nakasone Shinji Kobayashi Jiro Maegawa |
| author_facet | Toshihiko Satake Reiko Nakasone Shinji Kobayashi Jiro Maegawa |
| author_sort | Toshihiko Satake |
| collection | DOAJ |
| description | The lumbar artery perforator (LAP) flap, which contains excess skin and fat tissue, love handles, that extends from the lower back to upper buttock, may provide an alternate tissue source for autologous breast reconstruction. However, LAP flap use during this procedure frequently requires vessel interposition grafts to correct the short flap pedicle length and mismatched recipient vessel calibre. A 46-year-old patient underwent a right nipple-sparing mastectomy using a lateral approach for ductal carcinoma in situ and immediate LAP flap breast reconstruction. The lateral thoracic vessel served as the recipient vessel, and a lateral thoracic vein interposition graft from the distal remnant was performed to adjust the arterial length and size discrepancy between the recipient lateral thoracic artery and pedicle artery. This procedure facilitates microsurgical anastomosis and medialisation of LAP flap to make a natural decollete line and create a cleavage for the reconstructed breast. |
| first_indexed | 2024-12-14T12:43:48Z |
| format | Article |
| id | doaj.art-181116354f164a01b1ee70b9b31c51ba |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-14T12:43:48Z |
| publishDate | 2016-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-181116354f164a01b1ee70b9b31c51ba2022-12-21T23:00:50ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2016-01-014901919410.4103/0970-0358.182248Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosisToshihiko Satake0Reiko Nakasone1Shinji Kobayashi2Jiro Maegawa3Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Kanagawa, JapanDepartment of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Kanagawa, JapanDepartment of Plastic and Reconstructive Surgery, Kanagawa Children’s Medical Center, Yokohama, Kanagawa, JapanDepartment of Plastic and Reconstructive Surgery, Yokohama City University Hospital, Yokohama, Kanagawa, JapanThe lumbar artery perforator (LAP) flap, which contains excess skin and fat tissue, love handles, that extends from the lower back to upper buttock, may provide an alternate tissue source for autologous breast reconstruction. However, LAP flap use during this procedure frequently requires vessel interposition grafts to correct the short flap pedicle length and mismatched recipient vessel calibre. A 46-year-old patient underwent a right nipple-sparing mastectomy using a lateral approach for ductal carcinoma in situ and immediate LAP flap breast reconstruction. The lateral thoracic vessel served as the recipient vessel, and a lateral thoracic vein interposition graft from the distal remnant was performed to adjust the arterial length and size discrepancy between the recipient lateral thoracic artery and pedicle artery. This procedure facilitates microsurgical anastomosis and medialisation of LAP flap to make a natural decollete line and create a cleavage for the reconstructed breast.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182248autologous breast reconstructionfree flaplateral thoracic vessellumbar artery perforator flapvein interposition graft |
| spellingShingle | Toshihiko Satake Reiko Nakasone Shinji Kobayashi Jiro Maegawa Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis Indian Journal of Plastic Surgery autologous breast reconstruction free flap lateral thoracic vessel lumbar artery perforator flap vein interposition graft |
| title | Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis |
| title_full | Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis |
| title_fullStr | Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis |
| title_full_unstemmed | Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis |
| title_short | Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis |
| title_sort | immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis |
| topic | autologous breast reconstruction free flap lateral thoracic vessel lumbar artery perforator flap vein interposition graft |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182248 |
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