[Lumbar artery perforator flap for breast reconstruction]

Ann Chir Plast Esthet. 2018 Feb;63(1):25-30. doi: 10.1016/j.anplas.2017.07.011. Epub 2017 Aug 10.
[Article in French]

Abstract

Even though DIEP-SIEA flaps or latissimus dorsi musculocutaneous flap are the most frequently used, a wide variety of flaps have been described for autologous breast reconstruction. Concerning the choice of donor-site, the aim is to prevent and to limit the morbidity. That is why the donor-site should be carefully chosen, according to the morphology of the patient. Lumbar artery perforator flap (LAP) is an option for breast reconstruction, but it is not well known and its use is limited. This study summarizes the authors' early experience with free LAP flap for breast reconstruction. Three patients underwent immediate or delayed autologous breast reconstruction using a LAP flap. No vascular by pass was required to lengthen the pedicle. No partial or complete flap necrosis has been reported. There was no surgical donor-site complication. Mean operative time was 7hours. LAP flap can be considered as a good option for autologous breast reconstruction, especially in patients with unfavorable abdominal donor-site, and impossibility to use a DIEP flap.

Keywords: Breast reconstruction; Free flap; LAP flap; Lambeau LAP; Lambeau libre; Lambeau perforant; Microchirurgie; Microsurgery; Perforator flap; Reconstruction mammaire.

MeSH terms

  • Adult
  • Arteries / surgery
  • Body Mass Index
  • Breast Neoplasms / surgery
  • Female
  • Humans
  • Mammaplasty* / methods
  • Middle Aged
  • Operative Time
  • Perforator Flap / blood supply*
  • Retrospective Studies
  • Risk Assessment
  • Risk Factors
  • Treatment Outcome