Application of profunda artery perforator flap in breast reconstruction
10.3760/cma.j.issn.1009-4598.2017.06.003
- VernacularTitle: 股深动脉穿支皮瓣在乳房重建的应用
- Author:
Dajiang SONG
1
;
Zan LI
;
Xiao ZHOU
;
Yixin ZHANG
;
Xiaowei PENG
;
Bo ZHOU
;
Chunliu LYU
;
Wen PENG
;
Yan OU
;
Huangxing MAO
Author Information
1. Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital and Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410008, China
- Publication Type:Clinical Trail
- Keywords:
Breast cancer;
Profunda artery perforator flap;
Breast reconstruction
- From:
Chinese Journal of Plastic Surgery
2017;33(6):412-416
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application of the profunda artery perforator flap in breast reconstruction of patients with early-staged breast cancer.
Methods:Six cases of early breast cancer patients received radical or modified radicaI surgery.The PAP flap was used to reconstruct breast at the same time or in the second phase.Four cases of breast cancer were in stage I and 2 cases was in stage II.
Results:The length of flap was (25.2±0.2) cm, the width of flap was (6.4±0.8) cm, the thickness of flap was (2.6±0.2) cm. The length of pedicle was (7.2±0.6) cm, the outer diameter of pedicle was (1.6±0.3) mm.The average weight of flap was 345 g(ranged from 225 g to 575 g). All profunda artery perforator flaps were successful. In one flap fat necrosis occurred and healed with dressing treatment. The reconstructed breasts′ shape, texture and elasticity was good and no flap contracture deformation happened. Only linear scar left in the donor sites, the function of thighs was not affected. All 6 patients were followed up for 2-3 months (2.5 months on average) with satisfied result. No local recurrence happened.
Conclusions:PAP flap is suitable to reconstruct breast for breast cancer patients.