Supercharged and Delayed Thoracodorsal and Dorsal Intercostal Artery Perforator Flaps for Autologous Breast Reconstruction

Authors

Adeem M. Nachabe, LSU Health Sciences Center - New OrleansFollow
Mohammed S. Rais, LSU Health Sciences Center - New OrleansFollow
Mark A. Maier, LSU Health Sciences Center - New OrleansFollow
Hugo St Hilaire, LSU Health Sciences Center - New OrleansFollow
Robert J. Allen, LSU Health Sciences Center - New OrleansFollow

Document Type

Article

Publication Date

4-23-2025

Publication Title

Plastic and Reconstructive Surgery: Global Open

Abstract

In patients seeking total autologous breast reconstruction following mastectomy, prior abdominal surgery can present as a contraindication to utilizing traditional abdominal-based free flaps. The thoracodorsal artery perforator (TDAP) flap has emerged as a suitable alternative, providing adequate tissue and minimal donor site morbidity. This case report demonstrates further improvement to this technique by utilizing the dorsal intercostal artery perforator vessels to supercharge this pedicled flap, along with a surgical delay of the TDAP and dorsal intercostal artery perforator. This adaptation can provide added bulk and improved perfusion to the traditional TDAP-based total autologous breast reconstruction.

PubMed ID

40270557

Volume

13

Issue

4

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.

Recommended Citation

Nachabe, Adeem M.; Rais, Mohammed S.; Maier, Mark A.; St Hilaire, Hugo; and Allen, Robert J., "Supercharged and Delayed Thoracodorsal and Dorsal Intercostal Artery Perforator Flaps for Autologous Breast Reconstruction" (2025). School of Medicine Faculty Publications. 3811.
https://digitalscholar.lsuhsc.edu/som_facpubs/3811
10.1097/GOX.0000000000006739