Repository Citation
Pak, Kaitlynne; Fang, Amanda; Leach, Garrison; Dean, Riley; and Crowley, Sarah, "First Profunda Artery Perforator Flap for Breast Reconstruction Performed at a VA Hospital" (2021). Medical Student Research Symposium Abstracts and Posters. 4.
https://corescholar.libraries.wright.edu/msrs/2021/poster_presentations_8/4
Start Date
29-4-2021 7:35 PM
End Date
29-4-2021 7:45 PM
Document Type
Poster
Description
The profunda artery perforator (PAP) flap for breast reconstruction originated by Dr. Robert J. Allen in 2010 after multiple failed attempts at using muscle-sparing transverse rectus abdominal muscle (MS-TRAM) flap and implants. This flap method was initially approached due to the patient’s request for an autologous tissue graft that did not sacrifice muscle. The PAP flap has grown significantly in popularity and usage in breast reconstruction and makes up to about 16% of autologous breast reconstruction, coming second to DIEP flaps (76%). This well-tolerated, muscle-sparing approach is ideal for patients without sufficient abdominal fat (low BMI or previous abdominal liposuction) or those who prefer a non-abdominal donor site. In addition to its gained popularity for breast reconstruction, the PAP flap has also been utilized in defects reconstruction over the entire body such as the head and neck, lower extremities, vulva, and tongue. This is a sophisticated procedure and has never been performed at a VA hospital before this case.
Additional Files
Pak_First profunda artery perforator flap for breast reconstruction performed at a VA Hospital-ocr.pdf (78 kB)Abstract - Pak
Included in
Medical Education Commons, Oncology Commons, Plastic Surgery Commons
First Profunda Artery Perforator Flap for Breast Reconstruction Performed at a VA Hospital
The profunda artery perforator (PAP) flap for breast reconstruction originated by Dr. Robert J. Allen in 2010 after multiple failed attempts at using muscle-sparing transverse rectus abdominal muscle (MS-TRAM) flap and implants. This flap method was initially approached due to the patient’s request for an autologous tissue graft that did not sacrifice muscle. The PAP flap has grown significantly in popularity and usage in breast reconstruction and makes up to about 16% of autologous breast reconstruction, coming second to DIEP flaps (76%). This well-tolerated, muscle-sparing approach is ideal for patients without sufficient abdominal fat (low BMI or previous abdominal liposuction) or those who prefer a non-abdominal donor site. In addition to its gained popularity for breast reconstruction, the PAP flap has also been utilized in defects reconstruction over the entire body such as the head and neck, lower extremities, vulva, and tongue. This is a sophisticated procedure and has never been performed at a VA hospital before this case.
