Superficial inferior epigastric artery (SIEA) free flap using perforator vessels as a recipient site: clinical implications in autologous breast reconstruction

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author MUNHOZ, Alexandre Mendonca FMUSP-HC
PELLARIN, Leandro
MONTAG, Eduardo FMUSP-HC
FILASSI, Jose Roberto FMUSP-HC
TACHIBANA, Adriano FMUSP-HC
GEBRIM, Heloisa
GEMPERLI, Rolf FMUSP-HC
FERREIRA, Marcus Castro FMUSP-HC
dc.date.issued 2011
dc.identifier.citation AMERICAN JOURNAL OF SURGERY, v.202, n.5, p.612-617, 2011
dc.identifier.issn 0002-9610
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/22523
dc.description.abstract BACKGROUND: Breast reconstruction with autogenous tissue is a well-established technique, but there are some limitations related to donor-site morbidity. Among available techniques, the superficial inferior epigastric artery (SIEA) flap is the least invasive procedure because it does not require harvesting or incision of the rectus muscle or the abdominal fascia. Besides adequate flap choice, the proper selection of the recipient vessels is an important factor. Thus, the internal mammary perforator branches (IMPBs) have been an attractive option regarding recipient pedicle morbidity. METHODS: The investigators reported the use of the free SIEA flap with the IMPBs as a recipient site to reconstruct radical mastectomy. RESULTS: Five patients with invasive ductal carcinoma underwent modified radical mastectomy and reconstruction. The IMPBs were selected as the recipient site and a free SIEA flap was used. The donor defect was closed directly without synthetic mesh. Satisfactory breast shape was achieved, and no complications were observed. CONCLUSIONS: For selected patients, the SIEA flap and IMPBs may constitute a new alternative for immediate breast reconstruction, because of the possibility of large tissue transfer with minimal donor and recipient area morbidity. The SIEA pedicle size and the quality of IMPB vessels should be carefully evaluated.
dc.language.iso eng
dc.publisher EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
dc.relation.ispartof American Journal of Surgery
dc.rights restrictedAccess
dc.subject Microsurgery; Breast reconstruction; Superficial inferior epigastric artery flap; SIEA; Perforator flap; Perforator branches; Recipient vessels; Outcome; Free flap; Oncoplastic surgery
dc.title Superficial inferior epigastric artery (SIEA) free flap using perforator vessels as a recipient site: clinical implications in autologous breast reconstruction
dc.type article
dc.rights.holder Copyright EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
dc.description.group LIM/04
dc.identifier.doi 10.1016/j.amjsurg.2010.11.018
dc.identifier.pmid 21906715
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author MUNHOZ, Alexandre Mendonca:FM:
hcfmusp.author MONTAG, Eduardo:HC:ICESP
hcfmusp.author FILASSI, Jose Roberto:HC:ICHC
hcfmusp.author TACHIBANA, Adriano:HC:INRAD
hcfmusp.author GEMPERLI, Rolf:FM:MCG
hcfmusp.author FERREIRA, Marcus Castro:FM:MCG
hcfmusp.author.external · PELLARIN, Leandro:Univ Sao Paulo, Sch Med, Dept Radiol, Div Plast Surg, Sao Paulo, Brazil
· GEBRIM, Heloisa:Univ Sao Paulo, Sch Med, Dept Radiol, Div Plast Surg, Sao Paulo, Brazil
hcfmusp.origem.id WOS:000297025700025
hcfmusp.origem.id 2-s2.0-80054996685
hcfmusp.publisher.city BRIDGEWATER
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
hcfmusp.citation.scopus 6
hcfmusp.citation.wos 5
hcfmusp.affiliation.country Brasil


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