A free flap can be harvested leaving an inconspicuous donor site in the lower gluteal region. The different possibilities of free transplantation depend above all on the microvascular supply within the flap. We have prepared gluteal flaps in ten autopsies. The inferior gluteal artery was perfused wi
The inferior gluteal free flap in breast reconstruction
โ Scribed by Felmont F. Eaves III; Mark A. Codner; Foad Nahai
- Publisher
- Elsevier Science
- Year
- 1994
- Tongue
- English
- Weight
- 667 KB
- Volume
- 1
- Category
- Article
- ISSN
- 1071-0949
No coin nor oath required. For personal study only.
โฆ Synopsis
The gluteal region is an excellent secondary source of autologous tissue for breast reconstruction when lower abdominal tissue is not available. Although transfer of the buttocks tissue can be based on either of the codominant vessels to the gluteus maximus, we prefer using the inferior gluteal artery and vein. Results are improved by the judicious use of vein grafts to improve flap survival. In addition, careful closure of the donor site helps to reduce donor site morbidity.
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