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Total Breast Reconstruction Using the Thoracodorsal Artery Perforator Flap TDAP

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Breast Reconstruction

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Abstract

The TDAP is a perforator flap based on the perforators that originate from the thoracodorsal pedicle, and it was first described by Angrigiani et al. in 1995. It offers a well-vascularized skin paddle that can be harvested in several dimensions. Breast surgery is one of the areas where the pedicled TDAP has important applications since in selected cases it can offer total autologous breast reconstruction without the need of an implant. It offers an alternative for patients in whom abdomen-based flaps are high-risk or unavailable options or even more as a primary option in patients with small to medium breast size. The TDAP flap can be applied both for immediate and delayed reconstruction and in cases of radiotherapy. The advantages of this technique include a total autologous breast reconstruction, minimally invasive technique, good aesthetic results, low complication rates, and low-cost surgery.

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Authors and Affiliations

  1. Plastic Surgery Unit, Sant’ Andrea Hospital, Plastic Surgery “Sapienza,” University of Rome School of Medicine and Psychology, Rome, Italy

    Fabio Santanelli di Pompeo & Michail Sorotos

Authors
  1. Fabio Santanelli di Pompeo
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  2. Michail Sorotos
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Corresponding author

Correspondence to Fabio Santanelli di Pompeo .

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Editors and Affiliations

  1. Hospital Italiano de Buenos Aires, Capital Federal, Buenos Aires, Argentina

    Horacio F. Mayer

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Santanelli di Pompeo, F., Sorotos, M. (2020). Total Breast Reconstruction Using the Thoracodorsal Artery Perforator Flap TDAP. In: Mayer, H. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-34603-4_14

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  • DOI: https://doi.org/10.1007/978-3-030-34603-4_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-34602-7

  • Online ISBN: 978-3-030-34603-4

  • eBook Packages: MedicineMedicine (R0)

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