Advertisement

Autologous Reconstruction: Basic Principles for Free Flaps

  • Hisham Fansa
  • Christoph Heitmann
Chapter

Abstract

Autologous tissue is the best and long lasting kind of reconstruction. The tissue is warm, soft and feels like breast tissue. Autologous tissue ages naturally. It sags with gravity or gains and loses weight together with the patient’s constitution.

Literature

  1. 1.
    Billig J, Jagsi R, Qi J, Hamill JB, Kim HM, Pusic AL, Buchel E, Wilkins EG, Momoh AO. Should immediate autologous breast reconstruction be considered in women who require postmastectomy radiation therapy? a prospective analysis of outcomes. Plast Reconstr Surg. 2017;139:1279–88.CrossRefGoogle Scholar
  2. 2.
    Chen C, Nguyen MD, Bar-Meir E, Hess PA, Lin S, Tobias AM, Upton J 3rd, Lee BT. Effects of vasopressor administration on the outcomes of microsurgical Breast reconstruction. Ann Plast Surg. 2010;65:28–31.CrossRefGoogle Scholar
  3. 3.
    Hyza P, Streit L, Schwarz D, Kubek T, Vesely J. Vasospasm of the flap pedicle: the effect of 11 of the most often used vasodilating drugs. Comparative study in a rat model. Plast Reconstr Surg. 2014;134:574e–84e.CrossRefGoogle Scholar
  4. 4.
    Kneser U, Horch RE, Lehnhardt M. (Hrsg.) Grundkurs Mikrochirurgie. Hrsg. Springer Verlag Heidelberg 2015.Google Scholar
  5. 5.
    Pont LP, Marcelli S, Robustillo M, Song D, Grandes D, Martin M, Iglesias I, Aso J, Laloumet I, Díaz AJ. Immediate breast reconstruction with abdominal free flap and adjuvant radiotherapy: evaluation of quality of life and outcomes. Plast Reconstr Surg. 2017;140:681–90.CrossRefGoogle Scholar
  6. 6.
    Vyas K, Wong L. Intraoperative management of free flaps: current practice. Ann Plast Surg. 2014;72:S220–3.CrossRefGoogle Scholar
  7. 7.
    Warnecke IC, Kretschmer F, Brüner S, Frerichs O, Fansa H. Hereditäre Thrombophilie bei mikrochirurgischen Lappenplastiken. Handchir Mikrochir Plast Chir. 2007;39:220–4.CrossRefGoogle Scholar
  8. 8.
    Zhong T, Neinstein R, Massey C, McCluskey SA, Lipa J, Neligan P, Hofer SO. Intravenous fluid infusion rate in microsurgical Breast reconstruction: important lessons learned from 354 free flaps. Plast Reconstr Surg. 2011;128:1153–60.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Hisham Fansa
    • 1
    • 2
    • 3
  • Christoph Heitmann
    • 4
  1. 1.Department of Plastic, Reconstructive and Aesthetic SurgeryKlinikum BielefeldGermany
  2. 2.Center for Aesthetic Plastic Surgery and Reconstructive Breast SurgeryMunichGermany
  3. 3.Center for Aesthetic Plastic Surgery and Reconstructive Breast SurgeryZurichSwitzerland
  4. 4.Practice for Plastic SurgeryMunichGermany

Personalised recommendations