No registrations found.
ID
Source
Brief title
Health condition
Breast cancer
Sponsors and support
Intervention
Outcome measures
Primary outcome
Aesthetic outcome and complication rates
Secondary outcome
None
Background summary
Background: The gluteal region is one of the many alternative donor sites for autologous breast reconstruction. However, the harvest of the gluteal flap is rather difficult and the major drawback of gluteal flaps has been the need for position changes for flap harvest and inset. A new approach of a gluteal flap is introduced, based on the septocutaneous perforators of the superior gluteal artery: the septocutaneous gluteal artery perforator (Sc-GAP) makeover flap.
Methods: A prospective study was performed in Maastricht University Medical Center between January 2018 and December 2019. Patients who underwent a Sc-GAP makeover flap breast reconstruction in the Maastricht University Medical Center and have had preoperative magnetic resonance angiography (MRA) of the abdomen between January 2018 and June 2019 were included.
Results: Nine patients underwent breast reconstruction with thirteen Sc-GAP makeover flaps, of which nine flaps were innervated. Indications were the abdomen not being available as a donor site (n=4) or the flank region was preferred as a donor site by the patient (n=5). The total operative time was 430 minutes on average (range 311–683). Mean flap weight was 638 grams (range 370–1004) and the mean ischemia time was 53 ± 9.96 minutes. Coupler size used was 2.0–2.5 millimeters. All flaps survived.
Conclusion: The Sc-GAP makeover flap overcomes the disadvantages of the conventional gluteal flaps, especially by eliminating the need for position changes during the reconstruction procedure. It is a reliable flap that provides sufficient volume and good aesthetic outcomes.
Study objective
The Sc-GAP makeover flap overcomes all the disadvantages why the gluteal flaps have been abandoned for and provides a good alternative for autologous breast reconstruction for those patients who are not eligible for a DIEP flap breast reconstruction.
Study design
Pre- and postoperative photo's
Intervention
Autologous breast reconstruction using the Sc-GAP makeover flap
Inclusion criteria
Patients with an indication or desire for autologous breast reconstructions from the gluteal region.
Exclusion criteria
None
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL8233 |
| Other | METC azM/UM : 2019-1269 |