تقرير
The PUG Flap: Conjoined Profunda Artery Perforator and Upper Gracilis Flap for Breast Reconstruction.
| العنوان: | The PUG Flap: Conjoined Profunda Artery Perforator and Upper Gracilis Flap for Breast Reconstruction. |
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| المؤلفون: | Abdulwadood I; From Mayo Clinic Alix School of Medicine, Phoenix, Ariz., Pflibsen LR; Department of Surgery, Mayo Clinic Health Systems, Eau Claire, Wis.; Department of Orthopedic Surgery, Mayo Clinic Health Systems, Eau Claire, Wis.; Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Ariz., Jarvis NR; From Mayo Clinic Alix School of Medicine, Phoenix, Ariz., Winocour S; Division of Adult Plastic Surgery, Baylor College of Medicine, Houston, Tex., Rebecca AM; Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Ariz., Casey WJ; Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Ariz., Reece EM; Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Ariz. |
| المصدر: | Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2024 Mar 25; Vol. 12 (3), pp. e5544. Date of Electronic Publication: 2024 Mar 25 (Print Publication: 2024). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Health/Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101622231 Publication Model: eCollection Cited Medium: Print ISSN: 2169-7574 (Print) Linking ISSN: 21697574 NLM ISO Abbreviation: Plast Reconstr Surg Glob Open Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Philadelphia, PA] : Wolters Kluwer Health/Lippincott Williams & Wilkins, [2013]- |
| مستخلص: | Abdominal-based free flaps are the mainstay of autologous breast reconstruction; however, the region may not be ideal for patients with inadequate soft tissue or history of abdominal surgery. This case describes the use of a novel conjoined flap based on the profunda artery perforator and upper gracilis pedicles, named the perforator and upper gracilis (PUG) flap. This flap design aims to maximize medial thigh flap volume while ensuring robust tissue perforation. Here, we present our experience with the PUG flap in a breast cancer patient undergoing autologous reconstruction. The patient was a 41-year-old woman seeking nipple-sparing mastectomy and immediate autologous reconstruction with the PUG flap due to limited abdominal tissue availability. The gracilis and profunda artery perforator flaps were elevated using one boomerang-style skin paddle. Once harvested, the flaps were inset with antegrade and retrograde flow off the internal mammary arteries and both respective internal mammary veins. The donor site was closed in a V-Y pattern resulting in a thigh lift-type lift and concealed scar. In conclusion, the boomerang-style PUG flap maximizes medial thigh free tissue transfer volume, offers internal blood flow redundancy, and maintains good cosmesis of the donor site. Competing Interests: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.) |
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| تواريخ الأحداث: | Date Created: 20240326 Latest Revision: 20240327 |
| رمز التحديث: | 20240327 |
| مُعرف محوري في PubMed: | PMC10962896 |
| DOI: | 10.1097/GOX.0000000000005544 |
| PMID: | 38528848 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2169-7574 |
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| DOI: | 10.1097/GOX.0000000000005544 |