Abstract

Austin S. Hembd, Nicholas T. Haddock, Sumeet S. Teotia
2018 Plastic and Reconstructive Surgery, Global Open  
Two patients developed a seroma at the donor site. There was no partial flap loss and no evidence of fat necrosis noted in follow-up examinations. Only one patient underwent a subsequent flap revision, Flap survival was 100% with no return to the OR in the immediate post-operative period. DISCUSSION: When the patient requires or prefers to have an autologous breast reconstruction, the stacked LTP flap should be considered an effective and viable option if the patient's body habitus consists of
more » ... xcess lateral hip adiposity. The LTP flap has an anatomically reliable vascular supply that allows for a straightforward dissection, provides adequate volume and shape, and decreases operative time as 3 surgical teams can work simultaneously. The addition of the stacked LTP flap to the perforator flap collection allows the reconstructive surgeon to tailor breast reconstruction to the patient while focusing on body habitus and minimizing donor site deformity.
doi:10.1097/01.gox.0000547055.45277.18 fatcat:x2fqweunw5ft7bswurzjracwsi