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Related Experiment Video

Updated: Mar 11, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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Pre-expanded Thoracodorsal Artery Perforator Flap.

Yalcin Kulahci1, Cihan Sahin2, Huseyin Karagoz2

  • 1Department of Hand and Upper Extremity Surgery, Gulhane Military Medical Academy, General Dr Tevfik Saglam Cad, Etlik 06010, Ankara, Turkey.

Clinics in Plastic Surgery
|November 30, 2016
PubMed
Summary

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Pre-expanding the thoracodorsal artery perforator (TDAP) flap increases its size for reconstructing large defects. This technique allows for primary donor site closure, offering a valuable solution for inadequate flap sizes in reconstructive surgery.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Thoracodorsal artery perforator (TDAP) flaps are crucial for reconstructive surgery.
  • Inadequate flap size can limit reconstructive potential.
  • Alternative methods are needed to augment TDAP flap dimensions.

Purpose of the Study:

  • To evaluate the efficacy of pre-expansion in increasing TDAP flap size.
  • To assess the feasibility of using pre-expanded TDAP flaps for large defect reconstruction.
  • To detail the surgical technique and outcomes of pre-expanded TDAP flap reconstruction.

Main Methods:

  • Surgical technique involving pre-expansion of the TDAP flap using tissue expanders.
  • Harvesting of the pre-expanded flap.
Keywords:
ExpandedFlapPerforatorPre-expandedThoracodorsal

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  • Reconstruction of large defects using the augmented flap.
  • Evaluation of donor site closure and flap viability.

    • Main Results:

    • Pre-expansion successfully increased the size of the TDAP flap.
    • The pre-expanded TDAP flap facilitated reconstruction of large-sized defects.
    • Primary closure of the donor site was achievable, minimizing morbidity.
    • The technique demonstrated favorable outcomes in the authors' experience.

    Conclusions:

    • Pre-expansion is an effective method to augment TDAP flap size for large defect reconstruction.
    • This technique offers the advantage of primary donor site closure.
    • Pre-expanded TDAP flaps represent a valuable option in reconstructive surgery when primary flap size is insufficient.