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Thoracodorsal vessels as a recipient site
1Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston, USA.
Clinics in Plastic Surgery
|June 17, 1998
Summary
For immediate breast reconstruction, thoracodorsal vessels are the superior choice due to their reliable availability. This microvascular approach ensures high-quality recipient vessels for successful outcomes.
Area of Science:
- Microsurgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Delayed breast reconstruction offers various recipient vessel options.
- The transverse rectus abdominis myocutaneous (TRAM) flap is a common reconstructive technique.
Purpose of the Study:
- To identify the optimal recipient vessels for immediate breast reconstruction.
- To highlight the advantages of using thoracodorsal vessels for TRAM flaps.
Main Methods:
- Discussion of recipient vessel selection criteria.
- Explanation of surgical dissection techniques for microvascular breast reconstruction.
Main Results:
- Thoracodorsal vessels from the subscapular trunk are consistently available and reliable.
- Microvascular approach facilitates access to high-quality recipient vessels in the axilla and anterolateral chest wall.
Conclusions:
- Thoracodorsal vessels are the preferred choice for immediate breast reconstruction, particularly with TRAM flaps.
- Optimal recipient vessel selection and dissection are crucial for predictable and successful reconstructive outcomes.