Lateral Thigh Perforator Flap in Breast Reconstruction
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This chapter will discuss the lateral thigh perforator (LTP) flap for the use in breast reconstructive surgery. The LTP is an alternative flap for those patients in whom the first choice donor site, the abdomen, is not suitable as a do nor site. The history of the LTP flap, also known as the septocutaneous perforator tensor fasciae latae (TFL) flap, is described. Knowledge of the topographical and functional anatomy of the thigh is crucial for a surgeon when harvesting the LTP flap. Preoperative radiological imaging is essential in selecting suitable patients and planning the surgical procedure, which is systematically explained in the paragraph “Surgical Technique.” The authors share their experience and provide the reader with tips to perform a LTP flap breast reconstruction.
KeywordsAutologous Breast reconstruction Microsurgery Breast cancer Perforator flaps Lateral thigh perforator
We would like to thank Greet Mommen, medical scientific illustrator at Maastricht University, Department of Anatomy and Embryology, for the realization of the illustrations in this chapter. Her ideas and active contribution were essential to help clarify and visualize the concepts as described above. We also would like to thank Paul van Dijk, histologic technician at the same department, for the excellent photography of the cadaveric dissection.
Demonstration of the surgical technique of the lateral thigh perforator flap breast reconstruction and its additional procedures (MP4 121904 kb)
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