Abstract
In this chapter, an alternative option of breast reconstruction with free autologous tissue from the abdomen is presented.
A skin-sparing mastectomy was planned for a 37-year-old female patient with a ductal carcinoma in situ (DCIS) and an autologous reconstruction was desired. A two-stage procedure with initial expander implantation followed by reconstruction with free autologous tissue was arranged. The use of an abdominal flap was precluded due to the patient’s wishes and paucity of abdominal tissue. Furthermore, the donor site morbidity of a gluteal flap was not acceptable to the patient.
As an alternative, a thigh-based free flap was therefore chosen; 3 months after the initial stage, reconstruction was conducted with the free posteromedial thigh flap (PMT). The flap was harvested in a vertical manner (vPMT) with a longitudinally oriented ellipse along the posteromedial aspect of the thigh.
The recovery periods were uneventful after both procedures and the aesthetic result in terms of volume and symmetry to the contralateral breast was excellent.
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Scaglioni, M.F., Grufman, V. (2022). Secondary Breast Reconstruction with Vertical Posteromedial Thigh Flap (vPMT). In: Gravvanis, A., Kakagia, D.D., Ramakrishnan, V. (eds) Clinical Scenarios in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-23706-6_79
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DOI: https://doi.org/10.1007/978-3-030-23706-6_79
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