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New Abdominal Flap Design for Breast Reconstruction in Association with the Thoracoabdominal Flap

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Breast Reconstruction

Abstract

Mastectomy for breast cancer has a huge psychological and social impact on patients. That is why breast reconstruction has become an integrated part of the treatment for breast cancer.

Techniques for breast reconstruction include autologous, prosthetic based or both. The authors have used a novel approach which combines free abdominal-based flaps (most commonly DIEP flaps) and thoracoabdominal advancement flap (TAF). There are several advantages of this technique. First, that breast envelope is created by similar in texture and color skin (TAF skin). Second, the created breast skin pocket can be reutilized in case of DIEP flap failure. Third, the skin paddle of the flap can be removed at the second stage, avoiding the eventual patch appearance. The inconvenience of the DIEP plus TAF technique is that occasionally the TAF is too tight to recreate adequate breast projection. Herein we present the technical details of this method of autologous breast reconstruction after mastectomy.

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Correspondence to Hristo Shipkov MD, PhD .

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© 2016 Springer International Publishing Switzerland

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Shipkov, H., Boucher, F., Mojallal, A. (2016). New Abdominal Flap Design for Breast Reconstruction in Association with the Thoracoabdominal Flap. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_61

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  • DOI: https://doi.org/10.1007/978-3-319-18726-6_61

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

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