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.v6nS4.10307

Total breast reconstruction using thoracodorsal artery perforator (TDAP) flap with or without implants

Two centers experience

https://doi.org/10.53730/ijhs.v6nS4.10307

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.

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Published

04-07-2022

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(S4), 7846–7852. https://doi.org/10.53730/ijhs.v6nS4.10307

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Issue

Vol. 6 No. S4 (2022)

Section

Peer Review Articles

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