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The transverse upper gracilis flap: Efficiencies and design tips.

Edward W Buchel1, Kimberly R Dalke1, Thomas Ej Hayakawa1

  • 1Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba.

The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique
|January 15, 2014
PubMed
Summary

The transverse upper gracilis free flap offers a reliable option for breast reconstruction, particularly when abdominal donor sites are unsuitable. This modified technique aims to minimize donor site complications like thigh scarring and lymphedema.

Keywords:
Autologous breast reconstructionBreast reconstructionDissection techniqueFree flapGracilis free flapTUG flap

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • The transverse upper gracilis free flap is a recognized, albeit secondary, choice for autologous breast reconstruction.
  • The abdomen is the preferred donor site, making gracilis flaps suitable for select patients.

Purpose of the Study:

  • To present a modified harvest technique for the transverse upper gracilis free flap.
  • To address and mitigate potential donor site limitations associated with this flap.

Main Methods:

  • A modified harvest technique for the transverse upper gracilis free flap is detailed.
  • The technique utilizes monopolar cautery exclusively for dissection.
  • Video documentation of the modified harvest procedure is provided.

Main Results:

  • The modified technique aims for reliability and speed in flap harvest.
  • Specific modifications are designed to reduce risks such as medial thigh numbness, lower leg lymphedema, and contour deformities.
  • The technique seeks to minimize donor site scarring.

Conclusions:

  • The transverse upper gracilis free flap, with this modified technique, remains a viable option for breast reconstruction in carefully selected patients.
  • This approach enhances the reliability and safety profile of the gracilis flap for breast reconstruction.