Pedicled Flaps for Volume Replacement in Breast Conserving Surgery

  • Pankaj G. RoyEmail author
  • Jennifer Rusby
  • Richard M. Rainsbury


In this chapter we describe the background to the use of volume replacement flaps after breast-conserving surgery. We consider patient selection, surgical technique including planning and patient positioning, incision placement and operative technique and also describe the literature on oncological and cosmetic outcome and complications. The literature in this area is sparse, and more work is needed to confirm the relevant place of the different types of flap and to directly compare objective outcome and patient satisfaction with the alternative, namely, mastectomy and immediate breast reconstruction.


Volume replacement Partial mastectomy Latissimus dorsi miniflap (LDm) Thoraco-dorsal artery perforator (TDAP) Intercostal artery perforator LICAP LTAP Superior epigastric artery perforator flap (SEAP) Thoraco-epigastric flap 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Pankaj G. Roy
    • 1
    Email author
  • Jennifer Rusby
    • 2
  • Richard M. Rainsbury
    • 3
  1. 1.Breast SurgeryOxford University Hospitals NHS Foundation TrustOxfordUK
  2. 2.Department of Breast SurgeryRoyal Marsden Hospital NHS Foundation TrustSuttonUK
  3. 3.Department of Breast SurgeryRoyal Hampshire County HospitalWinchesterUK

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