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Post- Mastectomy and TUG Flap Reconstruction Revision

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Presentation on theme: "Post- Mastectomy and TUG Flap Reconstruction Revision"— Presentation transcript:

1 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

2 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

3 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

4 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

5 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

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

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

8 Works Cited “TUG Flap Breast Reconstruction “(Transverse Upper Gracilis Flap).” Prima of South Texas. N.p., Web. 25 Feb <http://www.prma-enhance.com/>. “Breast.” Virtual Medical Centre. N.p., 21 Feb web. 25 Feb <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 <http://www.breastreconstruction.org/>. Works Cited


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