Abstract
Although lower abdominal tissue has become the gold standard for autologous breast reconstruction, not every patient has lower abdominal tissue available. In cases where abdominal tissue is insufficient (low BMI), unavailable due to previous surgery, or body fat distribution is centered below the waist, alternative donor sites, such as the hips, buttock, and thighs, can be utilized for breast reconstruction. This chapter focuses on the use of medial and posterior thigh tissue, specifically the profunda artery perforator (PAP) flap, which is based on perforating branches of the profunda femoris artery. The PAP flap is a viable reconstructive choice for breast reconstruction by itself or can be “stacked” with another flap to augment volume. In this chapter, we will discuss the pertinent anatomy, patient selection, preoperative planning, surgical technique, and postoperative care and provide several cases of using the transverse (TPAP) and vertical PAP (VPAP) flap in reconstruction.
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Profunda artery perforator (PAP) flaps for breast reconstruction. (By Jamie Zampell, Hugo St. Hilaire, Robert J. Allen, and Jourdain Artz) (MOV 1252472 kb)
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Zampell, J., St-Hilaire, H., Artz, J., Allen, R.J. (2020). Profunda Artery Perforator Flaps for Breast Reconstruction. In: Mayer, H. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-34603-4_27
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DOI: https://doi.org/10.1007/978-3-030-34603-4_27
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