Post- Mastectomy and TUG Flap Reconstruction Revision

Slides:

Advertisements

Similar presentations

Questions: Component Separation

Advertisements

23/9/10. A 50 years old male was transferred from other hospital. One day before referal, he was admitted to that hospital because of severe epigastric.

Stem Cell. Stem cells have the power to restore beauty, heal damaged tissues, and the potential to treat and cure some diseases.

Pterygium Surgery with Sutured Conjunctival Autografts David S. Rootman, MD, FRCSC Associate Professor, University of Toronto.

Coverage of Thigh Ian Maxwell. Gastocnemius Flap Mathes and Nahai type I muscle flap Indications – Most commonly upper third of leg defects and knee Exposed.

Procedures Intermediate Format Abdominoplasty. Objectives Assess the related terminology and pathophysiology of the ____________. Analyze the diagnostic.

BREAST RECONSTRUCTION FORUM

Autologous Free Flap Methods of Reconstruction Aldona J. Spiegel, MD February 22, 2014.

BREAST RECONSTRUCTION

Brielle Bowyer & Preston Paynter

Tensor Fascia Lata, Rectus Femoris, Gracilis Flaps

Atlas B Surface Anatomy

Comparison of Surgical Treatments for Blocked Arteries By-Pass Surgery with Heart-Lung Machine By-Pass Surgery using Off-Pump Technique Angioplasty with.

Current Procedure of Double Free Muscle Transfer for Traumatic Total Brachial Plexus Palsy by Kazuteru Doi, Yasunori Hattori, Sotetsu Sakamoto, Chaitanya.

GUIDE TO A FROG DISSECTION By Mr. Berg and Ms. Cerletty For this dissection Mr. Berg will be wearing black gloves in an attempt to be super cool.

Surgical Instruments and Terminology 4-H Veterinary Science Extension Veterinary Medicine Texas AgriLife Extension Service College of Veterinary Medicine.

Introduction Plastic surgery is defined as any procedure used to correct or restore either form or function to a body part. It deals with body modification.

아름다운나라 성형외과 Facial Contouring and Rejuvenation with the Use of Fat Injection 아름다운나라 성형외과 김진영.

Circulatory System By: Brandon & Drew.

Minimal invasive body contouring surgery with vaser Basic to Advance.

BCT: Towards Optimal Outcomes

Lecture: Filatov stem. Indications for replacement of defects of tissues and organs of maxillofacial area Filatov stem. Methods of harvesting stem migration,

Plastic Surgery ST 240. Objectives  Review anatomy related to plastic surgery  Discuss diseases, conditions  Discuss Surgical procedures.

Date of download: 6/1/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Skin-Sparing Mastectomy With Sentinel Lymph Node Dissection:

Abdominal Contouring After Massive Weight Loss Objectives (Aims): Morbid obesity is an increasing problem of all countries in the twenty-first century.

Dr Andrew Tay- Plastic & Cosmetic Surgeon in Singapore Dr Andrew Tay is the plastic & cosmetic surgeon consultant at “the plastic surgery practice”. cont.

Liposuction Surgery By Redefine Plastic Surgery Center.

Dr. Henry Mentz: The Abdominoplasty Cosmetic Surgery

Mastectomy The removal of all or part of the breast.

Aesthetic surgery. Face lift This operation, also known as a rhytidoplasty, is one of the most commonly requested procedures of the head and neck. Often,

Latest Technology in Liposuction By Terri Garvi MyPlasticSurgeryMiami.com.

Female To Male Change Surgery in Thailand

Sonography of the Breast Part III

GUIDE TO A FROG DISSECTION

Breast Reconstruction Surgery

Breast reconstruction by the free transverse gracilis (TUG) flap

B. Obada, Al. Serban, M. Zekra, T. Bajenescu, Crina Alecu

Quick review of last class

Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of.

Cosmetic Surgery Procedure in Hyderabad

BREAST RECONSTRUCTION FORUM

CoolSculpting - The Best and The Safest

The Technique of Omentum Harvest for Intrathoracic Use

LESS is MORE ONCOLOGICAL SAFETY OF NIPPLE SPARING MASTECTOMY: A SYSTEMATIC REVIEW AND ANALYSIS OF PROCEDURES with a focus on a new approach Am J.

The pyramidalis muscle free flap

Total Phallic Reconstruction in Female-to-Male Transsexuals

Shoulder edge anterior adduction contracture in pediatric patients after burns: Anatomy and treatment: A new approach Viktor M. Grishkevich, Max Grishkevich,

Hernan A. Bazan, MD, Harry Schanzer, MD Journal of Vascular Surgery

An optimized retroperitoneal approach for open aortic repair by partially removing the tenth rib without incising the pleura and diaphragm Yuewei Wang,

The effect of ultrasound-assisted liposuction and conventional liposuction on the perforator vessels in the lower abdominal wall P.N. Blondeel, D. Derks,

Fenestrated Fontan for Hypoplastic Left Heart Syndrome

Web pages Lesson 3.

Poland’s syndrome revisited

Robotic Coronary Artery Bypass Grafting

Split Pectoralis Major Transfer for Chronic Medial Scapular Winging

Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema Jiro Maegawa, MD, Yuichiro Yabuki, MD, Hiroto Tomoeda, MD, Misato Hosono,

Successful reconstruction after radical resection of arteriovenous malformation of the finger and toe using microsurgery Fumiaki Shimizu, Aiko Kato,

A.M. Yiacoumettis British Journal of Plastic Surgery

Anatomic location of a sensory nerve to the transverse upper gracilis (TUG) flap: A novel option for sensate autologous tissue reconstruction James Gatherwright,

C11 Breast cancer Treatments

Breast reconstruction by the free transverse gracilis (TUG) flap

Liposuction in Mumbai

The Cost of TMD Tricia Kalinowski

Minimally Invasive Axillary– Coronary Artery Bypass

A new surgical approach to the innominate and subclavian vein

Redo Submammary Incision for Median Sternotomy and Cardiac Repair

Presentation transcript:

Post- Mastectomy and TUG Flap Reconstruction Revision Sarah Keilson Procedure observed 2/16/12 Highland Hospital Information available at cias.rit.edu/~srk5668/surgery2_112/breast.html

After viewing this presentation, you will be able to: Make incisions for a post-mastectomy/TUG flap reconstruction revision Remove necrotic tissue from previous TUG flap procedure, leaving anastomosed vessels behind Harvest and process fat from upper abdominal region Insert fat graft into the breast Suture close incisions with continuous running stitch Objectives

Failed TUG Flap Reconstruction Patient previously had mastectomy with TUG Flap Breast Reconstruction (Transverse Upper Gracilis Flap). Vasculature taken as part of the TUG flap graft was anastomosed to axillary vasculature, but graft tissue died. Healthy fat from upper abdomen will be used to replace necrotic fat graft. Incisions: Lateral breast Upper abdomen Medial breast Incision 3 Incision 2 Incision 1 Orientation and Background

Incision 1: Remove Necrotic Tissue 3 Dissect and remove necrotic tissue from previous reconstruction. Do not remove vasculature anastomosed in previous reconstruction. 2 1 Leave anastomosed vessels behind Step One

Incision 2: Harvest Abdominal Fat 3 Harvest fat using a liposuction cannula. Add Lactated Ringer’s to harvested fat and transfer to large syringes. Remove settled blood (blood cells in harvested fat stops angiogenesis). 2 1 Step Two

Incision 3: Inject Harvested Fat Inject harvested fat into medial side of breast to replace necrotic tissue. 2 1 Step Three

Suture Close Incisions 3 Close all incisions with continuous running stitches. 2 1 Step Four

Works Cited “TUG Flap Breast Reconstruction “(Transverse Upper Gracilis Flap).” Prima of South Texas. N.p., 2012. Web. 25 Feb. 2012. <http://www.prma-enhance.com/>. “Breast.” Virtual Medical Centre. N.p., 21 Feb 2012. web. 25 Feb. 2012. <http://www.virtualmedicalcentre.com/>. “TUG Flap, Inner Thigh Flap Breast Reconstruction.” BreastReconstruction.org The Comprehensive Resource for Breast Reconstruction. N.p., n.d. Web. 25 Feb. 2012. <http://www.breastreconstruction.org/>. Works Cited