Breast Cancer
Conditions
Keywords
Breast reconstruction, Perforator flap, Microsurgery
Brief summary
The lateral thigh perforator (LTP) flap was previously introduced as an alternative flap for autologous breast reconstruction when the abdomen is not suitable as a donor site. In this prospective study all LTP flap breast reconstructions that have been performed since September 2012 are analyzed. In addition, the surgical refinements that were introduced over the years are reported.
Interventions
PROCEDURELTP flap
A flap is harvested from the upper lateral thigh region based on septocutaneous perforators located in the posterior septum between the tensor fascia latae and gluteus medius muscles.
Sponsors
Maastricht University Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Lateral thigh region suitable as a donor site * Abdomen not suitable as donor site * Informed consent
Exclusion criteria
* Pre-operative imaging showing no suitable perforators
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recipient- and donor-site complications | Through study completion up to an average of 12 months post-operatively | Recipient site: Total flap loss, partial flap loss, venous congestion, infection, hematoma, seroma, fat necrosis and wound complications. Donor site: Infection, hematoma, seroma, fat necrosis, wound complications. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Flap re-explorations | Through study completion up to an average of 12 months post-operatively | Total number of flaps that required a re-exploration because of arterial or venous insufficiency, hematoma or kinking of the pedicle. |
Countries
Netherlands
Outcome results
None listed