Total breast reconstruction using thoracodorsal artery perforator (TDAP) flap with or without implants: Two centers experience

Mahmoud Soliman; Sameh Roshdy; Ahmed Abdalla; Nermin Soliman; Amit Agrawal; Adel Denewer

doi:10.53730/ijhs.v6nS6.10183

Total breast reconstruction using thoracodorsal artery perforator (TDAP) flap with or without implants: Two centers experience

https://doi.org/10.53730/ijhs.v6nS6.10183

Authors

Mahmoud Soliman Surgical Oncology Department, Faculty of Medicine, Mansoura University, Egypt
Sameh Roshdy Surgical Oncology Department, Faculty of Medicine, Mansoura University, Egypt
Ahmed Abdalla Surgical Oncology Department, Faculty of Medicine, Mansoura University, Egypt
Nermin Soliman Radiology Department, Faculty of Medicine, Mansoura University, Egypt
Amit Agrawal Cambridge Breast Unit, Cambridge University Hospitals NHS Foundation Trust, UK
Adel Denewer Surgical Oncology Department, Faculty of Medicine, Mansoura University, Egypt

Keywords:

Thoracodorsal artery, perforator flap, breast reconstruction, TDAP, autologous

Abstract

Introduction: The thoracodorsal artery perforator (TDAP) flap has been increasingly used for breast reconstruction mainly due to reduced donor site morbidity compared to latissimus dorse (LD) flap. TDAP flap was mainly described for partial reconstruction of breast defects following breast conserving surgery. This study describes the use of the TDAP flap in total breast reconstruction with or without synthetic implants in two breast units. Methods: Between June 2017 and June of 2022, seven patients were included. Six patients from the Oncology Center, Egypt and one patient from Cambridge Breast Unit. Preoperative perforator mapping method was recorded. Patients’ demographic data, type of mastectomy and reconstruction and surgical outcome were recorded. Results: Five patients had total breast reconstruction without implants, whilst two patients had implant-enhanced TDAP reconstruction. The mean age of was 39 years (31-43), and the mean mean body mass index (BMI) was 28 kg/m2 (23-36). Median hospital stay was 3 days. All patients had immediate breast reconstruction following mastectomy without the need for contralateral symmetrization or corrective surgery. No seroma was reported. Only one patient had complete flap loss, while one patient who had minor wound infection.

Downloads

Download data is not yet available.

References

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938

Rahmadeni, A. S. ., Hayat, N. ., Alba, A. D. ., Badri, I. A. ., & Fadhila, F. . (2020). The relationship of family social support with depression levels of elderly in 2019 . International Journal of Health & Medical Sciences, 3(1), 111-116. https://doi.org/10.31295/ijhms.v3n1.188

Angrigiani C, Grilli D, Siebert J. Latissimus dorsi musculocutaneous flap without muscle. Plastic and reconstructive surgery. 1995;96(7):1608-14.

Hamdi M, Van Landuyt K, Monstrey S, Blondeel P. Pedicled Perforator Flaps in Breast Reconstruction: A New Concept. Br J Plast Surg. 2004;57(6):531-9.

Santanelli F, Longo B, Germano S, Rubino C, Laporta R, Hamdi M. Total breast reconstruction using the thoracodorsal artery perforator flap without implant. Plastic and reconstructive surgery. 2014;133(2):251-4.

Hamdi M, Rasheed MZ. Advances in autologous breast reconstruction with pedicled perforator flaps. Clinics in Plastic Surgery. 2012;39(4):477-90.

Hamdi M, Salgarello M, Barone-Adesi L, Van Landuyt K. Use of the thoracodorsal artery perforator (TDAP) flap with implant in breast reconstruction. Annals of plastic surgery. 2008;61(2):143-6.

Rozen WM, Chubb D, Grinsell D, Ashton MW. Computed tomographic angiography: clinical applications. Clinics in Plastic Surgery. 2011;38(2):229-39.

Hamdi M, Decorte T, Demuynck M, Defrene B, Fredrickx A, Van Maele G, et al. Shoulder function after harvesting a thoracodorsal artery perforator flap. Plastic and reconstructive surgery. 2008;122(4):1111-7.

Angrigiani C, Rancati A, Escudero E, Artero G. Extended thoracodorsal artery perforator flap for breast reconstruction. Gland surgery. 2015;4(6):519.

Published

03-07-2022

How to Cite

Soliman, M., Roshdy, S., Abdalla, A., Soliman, N., Agrawal, A., & Denewer, A. (2022). Total breast reconstruction using thoracodorsal artery perforator (TDAP) flap with or without implants: Two centers experience. International Journal of Health Sciences, 6(S6), 3278–3285. https://doi.org/10.53730/ijhs.v6nS6.10183

Download Citation

Issue

Vol. 6 No. S6 (2022)

Section

Peer Review Articles

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.

Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.

This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.