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Double-Pedicle Tram Flap Breast Reconstruction: Following
Fuat Yüksel1, Bahattin Ccelıköz2
1GATA Haydarpaşa Eğitim Hastanesi, Plastik Cerrahi Srv., Üşküdar-İstanbul, Turkey. fuatyuk@hotmail.com.
Aesthetic Plastic Surgery
|November 24, 2017
Summary
Bostwick
Area of Science:
- Plastic Surgery
- Oncology
- Surgical Innovation
Background:
- Mastectomy often necessitates breast reconstruction.
- Various reconstruction techniques exist with varied outcomes.
- Bostwick's principles offer a structured approach.
Purpose of the Study:
- To present early results of breast reconstruction using Bostwick's principles.
- To evaluate the efficacy of different techniques based on patient risk factors.
Main Methods:
- Application of Bostwick's principles in 12 mastectomy cases.
- Utilized double-pedicle technique for patients with 1-2 risk factors.
- Employed vascular delay preceding double-pedicle technique for patients with >2 risk factors.
Main Results:
- No arterial or venous vascular compromises observed in flaps.
- No instances of fat necrosis reported.
- All 12 patients expressed satisfaction with the reconstruction outcomes.
Conclusions:
- Bostwick's principles provide a reliable foundation for breast reconstruction.
- The applied techniques demonstrated minimal risk and high patient satisfaction.
- This approach is suitable for breast reconstructive surgeons.
