Gluteal flap harvest for breast reconstruction

The lower gluteal flap is an autologous microsurgical breast reconstruction procedure using the soft tissue of the region of the gluteal sulcus. The perineal extension increases the volume of the sample. The pedicle with one artery and two large veins extends up the ischial notch and can reach 8 to...

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Bibliographic Details
Published in:Annales de chirurgie plastique et esthétique 2018-11, Vol.63 (5-6), p.498-504
Main Authors: Duquennoy-Martinot, V, Depoortère, C, Calibre, C, Guerreschi, P, Patenotre, P
Format: Article
Language:fre
Subjects:
Breast Neoplasms - surgery
Buttocks - surgery
Female
Free Tissue Flaps
Humans
Mammaplasty - methods
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Description
Summary:The lower gluteal flap is an autologous microsurgical breast reconstruction procedure using the soft tissue of the region of the gluteal sulcus. The perineal extension increases the volume of the sample. The pedicle with one artery and two large veins extends up the ischial notch and can reach 8 to 12cm. The two operative positions, the relative shortness of the pedicle and the firm tissues transferred are balanced by the discretion of the sequelae of the donor site and the volume which is always enough even in the slim woman. The best indication of this technique is two-sided breast reconstruction but it also provides a solution in case of contraindication of other autologous flaps, especially DIEP.
ISSN:1768-319X
DOI:10.1016/j.anplas.2018.05.003