Abstract
The use of autologous flaps in breast reconstruction is well-established. The deep inferior epigastric artery perforator (DIEAP) flap remains the gold standard, however not all patients are suitable for abdominal tissue transfer. Alternative autologous options include flaps such the transverse upper gracilis (TUG), profunda artery perforator (PAP), inferior gluteal artery perforator (IGAP), and superior artery perforator (SGAP), each with its own advantages and disadvantages.
We describe a 65-year-old lady who underwent delayed left breast reconstruction using the SGAP flap. The patient had an uneventful post-operative course with a good aesthetic result. The SGAP flap is therefore a safe and reliable alternative when a DIEAP flap is not possible.
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References
Baumeister S, Werdin F, Peek A. The sGAP flap: rare exception or second choice in autologous breast reconstruction? J Reconstr Microsurg. 2010;26:251–8.
Blondeel PN. The sensate free superior gluteal artery perforator (S-GAP) flap: a valuable alternative in autologous breast reconstruction. Br J Plast Surg. 1999;52:185–93.
Gagnon AR, Blondeel PN. Superior gluteal artery perforator flap. Semin Plast Surg. 2006;20(2):79–88. https://doi.org/10.1055/s-2006-941714.
Guerra AB, Metzinger SE, Bidros RS, Gill PS, Dupin CL, Allen RJ. Breast reconstruction with gluteal artery perforator (GAP) flaps: a critical analysis of 142 cases. Ann Plast Surg. 2004;52:118–25.
Lotempio MM, Allen RJ. Breast reconstruction with SGAP and IGAP flaps. Plast Reconstr Surg. 2010;126(2):393–401.
Opsomer D, Vyncke T, Ryx M, Stillaert F, Van Landuyt K, Blondeel P. Comparing the lumbar and SGAP flaps to the DIEP flap using the BREAST-Q. Plast Reconstr Surg. 2020;146(3):276e–82e.
Vasile JV, Newman T, Rusch DG, Greenspun DT, Allen RJ, Prince M, Levine JL. Anatomic imaging of gluteal perforator flaps without ionizing radiation: seeing is believing with magnetic resonance angiography. J Reconstr Microsurg. 2010;26(1):45–57.
Yaghoubian A, Boyd JB. The SGAP flap in breast reconstruction: backup or first choice? Plast Reconstr Surg. 2011;128(1):29e–31e.
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Singh, S., Kearney, L., Ceulemans, P. (2022). Superior Gluteal Artery Perforator (SGAP) Flap in Delayed Autologous Breast Reconstruction. In: Gravvanis, A., Kakagia, D.D., Ramakrishnan, V. (eds) Clinical Scenarios in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-23706-6_132
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DOI: https://doi.org/10.1007/978-3-030-23706-6_132
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