TMG Flap
A proportion of woman requesting autologous breast reconstruction (using their own tissue), but are to slim and do not have enough fat tissue in the lower abdomen to perform a DIEP flap. Others may have had a surgical procedure in the past to the abdomen, which have led to a undesirable position of the scars. These woman may be eligible for the Transverse Myocutaneous Gracilis flap, known as well as the TMG or TUG flap. In this procedure excess skin and fat from the inner portion of the upper thigh (just under groin crease) is used to create the new breast. Microsurgical techniques are used to reconnect the blood supply.
Who is a good ?
Both flaps are perforator flaps, which are tissues consisting only of skin and fat without muscle. One of the differences are in regard of the consistancy of the tissue. The S-GAP flap is more compact than the DIEP. Another important difference is in regard of postoperative recovery. Patients after a S-GAP flap recover quicker than from a DIEP flap.
What are the specific risks of the S-GAP flap?
The S-GAP flap is technically more challenging to raise than a DIEP flap. The vessels are smaller and the anatomy more unpredictable. Therefore the failure rate is slightly higher. Donor-site morbidity other than a small amount of asymmetry does not occur.
Will there be a significant asymmetry?
According to a patient survey, most woman have been not noticing a significant asymmetry, which would be seen through clothes.
TMG Flap
A proportion of woman requesting autologous breast reconstruction (using their own tissue), but are to slim and do not have enough fat tissue in the lower abdomen to perform a DIEP flap. Others may have had a surgical procedure in the past to the abdomen, which have led to a undesirable position of the scars. These woman may be eligible for the Transverse Myocutaneous Gracilis flap, known as well as the TMG or TUG flap. In this procedure excess skin and fat from the inner portion of the upper thigh (just under groin crease) is used to create the new breast. Microsurgical techniques are used to reconnect the blood supply.
Who is a good ?
Both flaps are perforator flaps, which are tissues consisting only of skin and fat without muscle. One of the differences are in regard of the consistancy of the tissue. The S-GAP flap is more compact than the DIEP. Another important difference is in regard of postoperative recovery. Patients after a S-GAP flap recover quicker than from a DIEP flap.
What are the specific risks of the S-GAP flap?
The S-GAP flap is technically more challenging to raise than a DIEP flap. The vessels are smaller and the anatomy more unpredictable. Therefore the failure rate is slightly higher. Donor-site morbidity other than a small amount of asymmetry does not occur.
Will there be a significant asymmetry?
According to a patient survey, most woman have been not noticing a significant asymmetry, which would be seen through clothes.
TMG Flap
A proportion of woman requesting autologous breast reconstruction (using their own tissue), but are to slim and do not have enough fat tissue in the lower abdomen to perform a DIEP flap. Others may have had a surgical procedure in the past to the abdomen, which have led to a undesirable position of the scars. These woman may be eligible for the Transverse Myocutaneous Gracilis flap, known as well as the TMG or TUG flap. In this procedure excess skin and fat from the inner portion of the upper thigh (just under groin crease) is used to create the new breast. Microsurgical techniques are used to reconnect the blood supply.
Who is a good ?
Both flaps are perforator flaps, which are tissues consisting only of skin and fat without muscle. One of the differences are in regard of the consistancy of the tissue. The S-GAP flap is more compact than the DIEP. Another important difference is in regard of postoperative recovery. Patients after a S-GAP flap recover quicker than from a DIEP flap.
What are the specific risks of the S-GAP flap?
The S-GAP flap is technically more challenging to raise than a DIEP flap. The vessels are smaller and the anatomy more unpredictable. Therefore the failure rate is slightly higher. Donor-site morbidity other than a small amount of asymmetry does not occur.
Will there be a significant asymmetry?
According to a patient survey, most woman have been not noticing a significant asymmetry, which would be seen through clothes.
Free TMG flap
Die wohl aktuellste Entwicklung in der Eigengeweberekonstruktion stellt der TMG Lappen dar. Ein Gewebest�stehend aus Haut- und Fettgewebe wird hier zusammen mit dem Grazilis-Muskel aus der Innenseite des Oberschenkels entnommen. Dabei wird das l�liche Gewebest� einem Konus gedreht und eine Brustform nachgebildet. Das Fettgewebe ist feiner strukturiert als beim S-GAP und sehr gut formbar. TMG steht f�rong>transverser myokutaner Grazilis-Lappen. Beim TMG Lappen handelt es sich ebenfalls um einen mikrochirurgischen Lappen.
F� kommt diese Technik in Frage?
Die Gr�ur Entnahme dieses Lappens sind dieselben wie die f� S-GAP oder I-GAP. Kommt hinzu, dass in gewissen F�en nicht ausreichend Gewebe im Po Bereich vorhanden und eine Narbe an dieser Stelle nicht erw� ist.
Wo liegt die Narbe beim TMG Lappen?
Die Narbe liegt versteckt in der nat�en Beugefalte des Oberschenkels innenseitig, mit Ausl�ern in der Infraglutealfalte.
Welches sind die Risiken bei der Rekonstruktion mittels TMG Lappen?
Die mikrochirurgischen Risiken beleiben dieselben wie bei allen anderen freien Lappen. Speziell beim TMG kann es in gewissen F�en zu unsch� Narben kommen. Eine Schw�ung der Bewegungen ist in der Regel jedoch nicht zu erwarten.
F� ist dieser Eingriff nicht zu empfehlen?
Patientinnen mit einer grossen Brust eignen sich nicht f�se Art von Rekonstruktion, da nicht ausreichend Gewebe zur Verf�steht. Ferner wird dieser Eingriff bei Patientinnen, welche Reitsport betreiben, ebenfalls nicht empfohlen.
