Pedicled Thoracodorsal Artery Perforator Flap to Resurface Locoregional Soft Tissue Defects-A Prospective Study
Introduction: Soft tissue defects of different etiopathologies over axilla, breast, upper arm and shoulder entail resurfacing with thin and pliable tissue coverage, with good colour and consistency match and minimum donor site morbidity. Previously Latissimus Dorsi Muscle or Myocutaneous flap (LDMC)...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2019-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/12651/37186_CE[Ra1]_F(AC)_PF1(PC_SL)_PFA(AC)_PB(PC_KM)_PN(SL).pdf |
| _version_ | 1818487398553616384 |
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| author | Prabir Kumar Jash Mainak Mallik Santanu Suba |
| author_facet | Prabir Kumar Jash Mainak Mallik Santanu Suba |
| author_sort | Prabir Kumar Jash |
| collection | DOAJ |
| description | Introduction: Soft tissue defects of different etiopathologies over axilla, breast, upper arm and shoulder entail resurfacing with thin and pliable tissue coverage, with good colour and consistency match and minimum donor site morbidity. Previously Latissimus Dorsi Muscle or Myocutaneous flap (LDMC) were the main option for pedicled tissue transfer to those defects. With evaluation and refinement of the perforator and perforosome concept in reconstructive surgery, the Thoracodorsal Artery Perforator (TDAP) flap has taken up an important role replacing LDMC. Aim: To study the versatility of TDAP in soft tissue defects of different etiopathologies and regions and the post-operative complications. Materials and Methods: A prospective study was conducted on 12 patients (3 males/9 females) with post traumatic or post excisional soft tissue defects in anterior chest wall, breast, neck, axilla and arm with various pathologies over a period of two years. Patients were chosen as per inclusion criteria, informed consents were taken with institutional ethical clearance, preoperative planning was done, intra-operative and post-operative results were documented and analysed. Results: Out of 12 cases, the recipient sites were breast in 42% cases and axilla in another 42%. Soft tissue defects following post tumour resection constituted 33% of the cases, 84% flaps survived, septocutaneous perforators (58%) were predominant, primary closure of the donor site was successful in 75% of the cases with scar widening of the upper back (donor area) seen as the most common complication in 50% of the cases. Conclusion: TDAP as a pedicled flap is a versatile flap for resurfacing loco-regional soft tissue defects of different etiologies. Also a durable, thin, pliable skin cover is obtained with excellent cosmesis. |
| first_indexed | 2024-12-10T16:37:16Z |
| format | Article |
| id | doaj.art-8817b241eadb4ad28715123c2d98856f |
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| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-10T16:37:16Z |
| publishDate | 2019-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-8817b241eadb4ad28715123c2d98856f2022-12-22T01:41:22ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-03-01133PC01PC0410.7860/JCDR/2019/37186.12651Pedicled Thoracodorsal Artery Perforator Flap to Resurface Locoregional Soft Tissue Defects-A Prospective StudyPrabir Kumar Jash0Mainak Mallik1Santanu Suba2Associate Professor, Department of Plastic and Reconstructive Surgery, Medical College, Kolkata, West Bengal, India.Senior Resident, Department of Plastic and Reconstructive Surgery, Medical College, Kolkata, West Bengal, India.RMO cum Clinical Tutor, Department of Plastic and Reconstructive Surgery, Medical College, Kolkata, West Bengal, India.Introduction: Soft tissue defects of different etiopathologies over axilla, breast, upper arm and shoulder entail resurfacing with thin and pliable tissue coverage, with good colour and consistency match and minimum donor site morbidity. Previously Latissimus Dorsi Muscle or Myocutaneous flap (LDMC) were the main option for pedicled tissue transfer to those defects. With evaluation and refinement of the perforator and perforosome concept in reconstructive surgery, the Thoracodorsal Artery Perforator (TDAP) flap has taken up an important role replacing LDMC. Aim: To study the versatility of TDAP in soft tissue defects of different etiopathologies and regions and the post-operative complications. Materials and Methods: A prospective study was conducted on 12 patients (3 males/9 females) with post traumatic or post excisional soft tissue defects in anterior chest wall, breast, neck, axilla and arm with various pathologies over a period of two years. Patients were chosen as per inclusion criteria, informed consents were taken with institutional ethical clearance, preoperative planning was done, intra-operative and post-operative results were documented and analysed. Results: Out of 12 cases, the recipient sites were breast in 42% cases and axilla in another 42%. Soft tissue defects following post tumour resection constituted 33% of the cases, 84% flaps survived, septocutaneous perforators (58%) were predominant, primary closure of the donor site was successful in 75% of the cases with scar widening of the upper back (donor area) seen as the most common complication in 50% of the cases. Conclusion: TDAP as a pedicled flap is a versatile flap for resurfacing loco-regional soft tissue defects of different etiologies. Also a durable, thin, pliable skin cover is obtained with excellent cosmesis.https://jcdr.net/articles/PDF/12651/37186_CE[Ra1]_F(AC)_PF1(PC_SL)_PFA(AC)_PB(PC_KM)_PN(SL).pdfmusculocutaneouspedicled flapsseptocutaneous |
| spellingShingle | Prabir Kumar Jash Mainak Mallik Santanu Suba Pedicled Thoracodorsal Artery Perforator Flap to Resurface Locoregional Soft Tissue Defects-A Prospective Study Journal of Clinical and Diagnostic Research musculocutaneous pedicled flaps septocutaneous |
| title | Pedicled Thoracodorsal Artery Perforator Flap to Resurface Locoregional Soft Tissue Defects-A Prospective Study |
| title_full | Pedicled Thoracodorsal Artery Perforator Flap to Resurface Locoregional Soft Tissue Defects-A Prospective Study |
| title_fullStr | Pedicled Thoracodorsal Artery Perforator Flap to Resurface Locoregional Soft Tissue Defects-A Prospective Study |
| title_full_unstemmed | Pedicled Thoracodorsal Artery Perforator Flap to Resurface Locoregional Soft Tissue Defects-A Prospective Study |
| title_short | Pedicled Thoracodorsal Artery Perforator Flap to Resurface Locoregional Soft Tissue Defects-A Prospective Study |
| title_sort | pedicled thoracodorsal artery perforator flap to resurface locoregional soft tissue defects a prospective study |
| topic | musculocutaneous pedicled flaps septocutaneous |
| url | https://jcdr.net/articles/PDF/12651/37186_CE[Ra1]_F(AC)_PF1(PC_SL)_PFA(AC)_PB(PC_KM)_PN(SL).pdf |
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