Publications by authors named "Pedrou B Westland"

Background: The deep inferior epigastric artery perforator (DIEP) flap is one of the most common techniques for breast reconstruction. Body mass index (BMI) is considered as an important predictor of donor site healing complications such as wound dehiscence. The use of computed tomography (CT) proved to be a precise and objective method to assess visceral adipose tissue.

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Purpose: The integument of the medial lower leg is underestimated as a donor site for local and distant reconstructions. Comprehensive knowledge of its perforator anatomy is lacking. This study aims to determine perforator location and characteristics and to compare these regarding the proximal, middle and distal third of the medial lower leg.

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Article Synopsis
  • The study evaluates a modified profunda artery perforator (PAP) flap for breast reconstruction when other options are unavailable, aiming to improve donor site limitations by harvesting from a higher area.
  • Forty modified PAP flap reconstructions were performed on 30 patients, with promising results in flap survival and minimal complications, although some patients experienced wound dehiscence and transient leg lymphedema.
  • The modified flap technique successfully achieved desired outcomes, such as maintaining preoperative bra size and favorable scar placement, with no significant changes in sensation reported.
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