Abstract:
BACKGROUND:Perforator free flaps from the buttock serve as an alternative to abdominally based flaps in autologous breast reconstruction. Microsurgeons often opt to harvest tissue from the gluteal donor site because of a lack of abdominal volume and/or quality. The authors examined the experience of a single surgeon with the inferior gluteal artery perforator (IGAP) flap and provide a quantitative outcomes comparison with the deep inferior epigastric perforator (DIEP) flap. METHODS:A retrospective review was performed of patients who underwent IGAP flap surgery for autologous breast reconstruction from August of 2005 to October of 2010 performed by a single surgeon (J.M.S.). RESULTS:Thirty-one inferior gluteal artery perforator flaps were performed on 24 patients. Mean follow-up time was 24.4 months (range, 6 to 65 months). The total flap loss rate was 6.5 percent, and the take-back rate was 13 percent (salvage rate, 75 percent). Vascular complication rates were as follows: intraoperative arterial thrombosis, 13 percent; intraoperative venous thrombosis, 3 percent; delayed arterial thrombosis, 3 percent; and delayed venous thrombosis, 13 percent. Nineteen percent of patients had sensory complaints at the donor site that persisted beyond 3 months postoperatively. In comparison to the DIEP flap, IGAP flaps had a higher rate of intraoperative arterial thrombosis (13 percent versus 2.6 percent, p = 0.024) and delayed venous thrombosis (13 percent versus 1.5 percent, p = 0.008). CONCLUSIONS:Review of the IGAP flap reveals some shortcomings of this flap even in the hands of an experienced microsurgeon. Surgeons should be aware of the difficulties and limitations when choosing this flap for reconstruction.
journal_name
Plast Reconstr Surgjournal_title
Plastic and reconstructive surgeryauthors
Mirzabeigi MN,Au A,Jandali S,Natoli N,Sbitany H,Serletti JMdoi
10.1097/PRS.0b013e318230c2d8subject
Has Abstractpub_date
2011-12-01 00:00:00pages
614e-624eissue
6eissn
0032-1052issn
1529-4242pii
00006534-201112000-00009journal_volume
128pub_type
杂志文章abstract::Although a free vascularized iliac bone graft has been successfully used for the reconstruction of large bone defects, there is a serious problem of how to repair in one stage patients having a large bone defect with a very wide skin defect. A free combined rectus abdominis musculocutaneous flap and vascularized iliac...
journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00006534-199109000-00020
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abstract:BACKGROUND:Nonsteroidal antiinflammatory drugs are useful alternatives to narcotics for analgesia. However, concerns remain regarding their safety. The authors evaluated ketorolac use and complications. We hypothesized that no association between ketorolac and morbidity exists in patients undergoing body contouring. M...
journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/PRS.0000000000004806
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00006534-198707000-00007
更新日期:1987-07-01 00:00:00
abstract::Any split-thickness skin graft donor site is obvious to some degree because of pigment alterations and, at the worst, it can develop hypertrophic scarring. A predictably superior aesthetic result is possible if this site is converted to a full-thickness defect followed by primary closure, because a linear scar is the ...
journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:1999-12-01 00:00:00
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/PRS.0b013e318204aeb2
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/01.PRS.0000060114.95065.C5
更新日期:2003-06-01 00:00:00
abstract::Sternal dehiscence may be defined as separation of the bony sternum and manubrium following median sternotomy. It may occur at any time postoperatively and has various etiologies. Restoration of sternal integrity in sternal dehiscence is a challenging problem, particularly when associated with deep-seated infection. T...
journal_title:Plastic and reconstructive surgery
pub_type: 临床试验,杂志文章
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
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journal_title:Plastic and reconstructive surgery
pub_type: 临床试验,杂志文章
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更新日期:2018-07-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章,评审
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00006534-198703000-00001
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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更新日期:2003-05-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00006534-198803000-00007
更新日期:1988-03-01 00:00:00
abstract::Increasing numbers of plastic surgery procedures are performed in diverse environments, including traditional hospital operating rooms, outpatient surgery centers, and private offices. Just as plastic surgeons develop areas of specialization to better care for their patients, anesthesiologists have specialized in outp...
journal_title:Plastic and reconstructive surgery
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doi:10.1097/PRS.0b013e3181c2a268
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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更新日期:1991-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-07-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章,评审
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00006534-198802000-00025
更新日期:1988-02-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 临床试验,杂志文章
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更新日期:2014-09-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:2004-08-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00006534-199909030-00002
更新日期:1999-09-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/PRS.0b013e3181b17c0e
更新日期:2009-09-01 00:00:00