Visualized bilateral breast reconstruction by propeller thoracodorsal artery perforator flaps

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Oncology

Background:

• Thoracodorsal artery perforator (TAP) flaps are a versatile option for breast reconstruction.
• TAP flaps are preferred over latissimus dorsi (LD) flaps due to reduced patient morbidity.
• Bilateral breast reconstruction presents unique surgical considerations.

Purpose of the Study:

• To demonstrate the surgical technique for bilateral TAP flap breast reconstruction.
• To present preliminary outcomes of bilateral TAP flap breast reconstructions.
• To highlight the role of preoperative Color Doppler ultrasonography (CDU) in planning.

Main Methods:

• Surgical technique involves three main steps: flap elevation, flap rotation, and reconstruction completion.
• Preoperative planning utilizes Color Doppler ultrasonography (CDU) to map perforator vessels.
• Reconstruction can be performed as a direct-to-implant or delayed procedure.

Main Results:

• Presents preliminary results from 32 bilateral reconstructions in 16 patients.
• CDU enhances flap safety and reliability by identifying perforators, facilitating faster dissection.
• The described three-step procedure facilitates bilateral TAP flap breast reconstruction.

Conclusions:

• Bilateral TAP flap breast reconstruction is a viable and aesthetically pleasing option.
• Preoperative CDU mapping is crucial for safe and efficient perforator flap dissection.
• TAP flaps offer a favorable alternative to LD flaps in breast reconstruction.