A free intercostal artery perforator flap as a salvage operation for a planned lumbar artery perforator flap with aberrant anatomy in breast reconstruction: A case report

Microsurgery ◽  
2021 ◽  
Author(s):  
Olivia L. Sharp ◽  
Guido Köhler ◽  
Dhalia Masud ◽  
Richard M. Haywood
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Perforator Flap ◽  
Intercostal Artery ◽  
Lumbar Artery ◽  
Salvage Operation ◽  
Artery Perforator

Anterior Intercostal Artery Perforator Flap as a Simple Technique for Partial Breast Reconstruction: Our Institutional Initial Experience

2020 ◽  
Vol 106 (1_suppl) ◽  
pp. 40-40
Author(s):  
R Amira Maher ◽  
Ahmed Gamal Eldin Osman ◽  
K Fahmy ◽  
Nouf M. Ebied ◽  
Reda Eissa
Keyword(s):  
Breast Reconstruction ◽  
Donor Site ◽  
Perforator Flap ◽  
Cosmetic Outcome ◽  
University Hospital ◽  
Intercostal Artery ◽  
Breast Size ◽  
Cancer Management ◽  
The Mean ◽  
Artery Perforator

Background: The oncoplastic surgery has brought new dimensions to breast conserving surgery and added the aesthetic principles of breast surgery to breast cancer management. Recently there's a lot of volume replacement techniques without significant donor site morbidity .The anterior intercostal artery perforator (AICAP) flap is a suitable option in partial breast reconstruction for lower pole tumors in small and medium sized breasts. Objectives: The aim of this study is to report our clinical experience with anterior intercostal perforator flap in partial breast reconstruction Methodology: 25 cases were performed between April 2018 to June 2019 at in Ain shams university hospitals for selected patients with lower breast pole tumors with small and medium sized breast and other option like reduction mMDTmoplasty wasn't favorable for them. Results: A total of 25 patient were selected by the multidisplinary team at Ain shams university hospital for partial breast reconstruction with anterior intercostal artery perforator flap . The mean age of the cases was 45.68 with mean body mass index of 32.32. The mean operative time for the flap was 64 minutes while the hospital stay was ranging from 1-2 days .Follow-up for local recurrence was from 6 to 14 months. There was 1 case with wound complication (4%). The cosmetic outcome was assessed by the MDT and a giving score from 1-5 was used with 1 is the least favorable cosmetic outcome and 5 is the best result 76% of the cases scored 5, 14% scored 4, 8% scored 3. According to patient satisfaction a score from 1 to 5 was used with the score 1 is least satisfied and score 5 represents the most satisfaction level, there was 80% of the patient gave the score 5, 12% of the cases gave the score 4 and 8% of the cases gave the score 3 Conclusions: Based on our experience, partial breast reconstruction using AICAP flap is a reliable option for lower breast tumors in small-to-moderate breast size with perfect cosmetic outcome and negligible rate of complication.

Anterior intercostal artery perforator flap in immediate breast reconstruction: Anatomical study and clinical application

Microsurgery ◽  
2017 ◽  
Vol 37 (6) ◽  
pp. 603-610 ◽  
Author(s):  
Cristian Carrasco-López ◽  
Juan Francisco Julian Ibañez ◽  
Jordi Vilà ◽  
Miguel Angel Luna Tomás ◽  
Jordi Navinés López ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Clinical Application ◽  
Perforator Flap ◽  
Anatomical Study ◽  
Immediate Breast Reconstruction ◽  
Intercostal Artery ◽  
Artery Perforator

The Lumbar Artery Perforator Flap in Autologous Breast Reconstruction

2018 ◽  
Vol 142 (1) ◽  
pp. 1e-8e ◽  
Author(s):  
Dries Opsomer ◽  
Filip Stillaert ◽  
Phillip Blondeel ◽  
Koenraad Van Landuyt
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap ◽  
Autologous Breast Reconstruction ◽  
Lumbar Artery ◽  
Artery Perforator

The inframammary extending lateral intercostal artery perforator flap for reconstruction of axillary contractures: a case report

2008 ◽  
Vol 61 (12) ◽  
pp. e7-e11 ◽  
Author(s):  
F.B. Stillaert ◽  
B. Casaer ◽  
N. Roche ◽  
K. Van Landuyt ◽  
M. Hamdi ◽  
...  
Keyword(s):  
Case Report ◽  
Perforator Flap ◽  
Intercostal Artery ◽  
Artery Perforator

Robotic-assisted deep inferior epigastric artery perforator flap abdominal harvest for breast reconstruction: A case report

Microsurgery ◽  
2018 ◽  
Vol 38 (6) ◽  
pp. 702-705 ◽  
Author(s):  
Vinay S. Gundlapalli ◽  
Adeyemi A. Ogunleye ◽  
Kiandra Scott ◽  
Eric Wenzinger ◽  
Jason P. Ulm ◽  
...  
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Perforator Flap ◽  
Inferior Epigastric Artery ◽  
Robotic Assisted ◽  
Epigastric Artery ◽  
Deep Inferior Epigastric Artery ◽  
Artery Perforator

Donor Site Morbidity after Lumbar Artery Perforator Flap Breast Reconstruction

2021 ◽  
Author(s):  
Dries Opsomer ◽  
Tom Vyncke ◽  
Michelle Ryx ◽  
Koenraad Van Landuyt ◽  
Phillip Blondeel ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Donor Site ◽  
Significant Risk ◽  
Perforator Flap ◽  
Significant Risk Factor ◽  
Donor Site Morbidity ◽  
Diep Flap ◽  
Lumbar Artery ◽  
Patient Reported ◽  
Artery Perforator

Abstract Background The lumbar artery perforator flap is a second-choice flap in autologous breast reconstruction whenever a deep inferior epigastric artery perforator (DIEP) flap is not possible. Ideal candidates are pear-shaped women who do not have enough bulk on the abdomen or thighs. Patient-reported “satisfaction with breasts” is excellent but we were curious about the donor site morbidity. Methods We performed a retrospective study of all lumbar flap breast reconstructions performed between 2010 and 2019. Patients were invited by e-mail and telephone to take part in a BREAST-Q survey. Results One hundred fifty-four flaps were performed in 110 patients. Sixty-three patients filled out the BREAST-Q questionnaire. The most frequently observed donor site complications are seroma (35.1%), dehiscence (8.4%), and hematoma (3.2%). Correction of the donor site scar was performed in 31.8% of patients, lipofilling of the donor flank in 5.2%, and liposuction of the contralateral flank in 18.3% of patients. Body mass index (BMI) was the only significant risk factor for donor site complications. Patient-reported “satisfaction with donor site appearance” was good but significantly lower for primary reconstructions compared with secondary and tertiary procedures. Flap weight significantly influences patient-reported “physical wellbeing of the donor site.” Ninety-seven percent of patients would recommend the surgery to someone in a similar position and would do it all over. Conclusion The lumbar artery perforator flap is a good alternative for breast reconstruction in selected patients. The donor site issues consist mainly of seromas, prolonged discomfort, and a scar that might be noticeable to others, but patient-reported satisfaction is very high.

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