Direct delayed breast reconstruction with TAP flap, implant and acellular dermal matrix (TAPIA).

Background: The latissimus dorsi (LD) flap is considered one of the working horses within the field of breast reconstruction and it offers several advantages. However, donor-site morbidity may pose a problem. This article describes a new and modified technique for delayed breast reconstruction combining the use of a propeller thoracodorsal artery perforator (TAP) flap with an acellular dermal matrix (ADM) and an implant.

Successful breast reconstruction using acellular dermal matrix can be recommended in healthy non-smoking patients.

Introduction: We present Scandinavia's first series of immediate alloplastic breast reconstructions with an acellular dermal matrix.

Material And Methods: Data were collected retrospectively in 76 cases of immediate breast reconstruction using an acellular dermal matrix (ADM) and an implant.

Results: A total of 59 women were reconstructed between June 2011 and January 2013.

Propeller TAP flap: is it usable for breast reconstruction?

The aim of this study was to examine if a propeller thoracodorsal artery perforator (TAP) flap can be used for breast reconstruction. Fifteen women were reconstructed using a propeller TAP flap, an implant, and an ADM. Preoperative colour Doppler ultrasonography was used for patient selection to identify the dominant perforator in all cases.