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The Profunda Artery Perforator Flap Experience for Breast Reconstruction
Robert J Allen1,2, Z-Hye Lee1,2, James L Mayo1,2
1New York, N.Y.;and New Orleans, La.
Plastic and Reconstructive Surgery
|July 9, 2016
Summary
The profunda artery perforator flap offers a reliable option for breast reconstruction, demonstrating a high success rate and favorable outcomes. This technique is a valuable choice for patients seeking aesthetic and functional restoration.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncologic Surgery
Background:
- The profunda artery perforator (PAP) flap was introduced for breast reconstruction in 2010.
- This study analyzes the outcomes of PAP flaps performed by the authors between 2010 and 2014.
Purpose of the Study:
- To evaluate the efficacy and safety of the profunda artery perforator flap in breast reconstruction.
- To analyze patient demographics, surgical techniques, and complication rates associated with PAP flap breast reconstruction.
Main Methods:
- Retrospective review of consecutive PAP flaps performed by the senior author from 2010-2014.
- Data collected included patient demographics, indications, operative techniques, flap specifics, complications, and number of operations.
Main Results:
- 164 PAP flap operations were performed on 96 patients for breast reconstruction.
- Indications included post-cancer management (59.5%), prophylactic mastectomy (35.7%), and congenital deformities (4.8%).
- The PAP flap achieved a >99% success rate with minimal complications (hematoma 1.9%, seroma 6%, fat necrosis 7%, donor-site infection 1.9%).
Conclusions:
- The profunda artery perforator flap is an excellent choice for breast reconstruction due to its reliable blood supply, long pedicle, and favorable donor site.
- It is a valuable alternative to other flap options, second only to the DIEP flap in the authors' experience.
- The PAP flap offers a safe and effective method for achieving successful breast reconstruction.
