Reconstruction mammaire par Lambeau de gracilis à palette transversale

- une Patiente de 44 ans avec un résultat insatisfaisant de RMI à cause de coque prothétique isolée stade IV de Becker - Reconstruction mammaire secondaire par lambeau de gracilis palette transversale - Morphoytpe ne permettant pas d'autre type de reconstruction -Incision de La palette cutanée du lambeau jusqu’à l'aponévrose musculaire - Identification de la portion distale du muscle Gracile et Section de son tendon Distal - DISSECTION DU PÉDICULE VASCULAIRE DU LAMBEAU SOUS LE MUSCLE LONG ADDUCTEUR - Dissection du pédicule vasculaire du lambeau sous le muscle long adducteur - Preparation des vaisseaux mammaire internes sur la zone receveuse. - Réalisation des microanastomoses - Modelage du lambeau - Reconstruction de PAM et Tatouage Strategy & approach Devices used - Intervention chirurgicale la traitement Medical n'était pas proposé https://www.oncostream.com/en/videos/8-gynecologie/18-techniqueschirurgicales/1-interviewpatientfr Wong C, Mojallal A, Bailey SH, Trussler A, Saint-Cyr M. The extended transverse musculocutaneous gracilis flap: vascular anatomy and clinical implications. Ann Plast Surg 2011;67:170–7. https://www.oncostream.com/en/videos/8-gynecologie/18-techniqueschirurgicales/2-postoperationpatientbriefen Lotempio MM, Allen RJ. Breast reconstruction with SGAP and IGAP flaps. Plast Reconstr Surg 2010;126:393–401. https://www.oncostream.com/en/videos/8-gynecologie/18-techniqueschirurgicales/3-deroulementpostoperatoire Bodin F, Schohn T, Lutz J-C, Zink S, Wilk A, Bruant Rodier C. Le lambeau de gracilis à palette transversale : une nouvelle technique de reconstruction mammaire autologue. Ann Chir Plast Esthet 2013;58:18–27. https://www.oncostream.com/en/videos/8-gynecologie/18-techniqueschirurgicales/4-venipuncturewithechosite Deutinger M, Kuzbari R, Paternostro-Sluga T, Quittan M, Zauner- Dungl A, Worseg A, et al. Donor-site morbidity of the gracilis flap. Plast Reconstr Surg 1995;95:1240–4. https://www.oncostream.com/en/videos/8-gynecologie/18-techniqueschirurgicales/5-huberneedlewithdrawalimportanceofpositivepressure Shubailat GF, Ajluni NJ, Shahateet MA. Repair of a lower leg defect with an ipsilateral gracilis myocutaneous flap. Plast Reconstr Surg 1979;64:560–2. https://www.oncostream.com/en/videos/8-gynecologie/18-techniqueschirurgicales/6-retraitdelaiguilledehuberimportancedelapressionpositive Harii K, Ohmori K, Sekiguchi J. The free musculocutaneous flap. Plast Reconstr Surg 1976;57:294–303. https://www.oncostream.com/en/videos/11-urologie/24-techniqueschirurgicales/7-lomboovarien Yousif NJ. The transverse gracilis musculocutaneous flap. Ann Plast Surg 1993;31:382. https://www.oncostream.com/en/videos/11-urologie/24-techniqueschirurgicales/8-artereuterine Yousif NJ, Matloub HS, Kolachalam R, Grunert BK, Sanger JR. The transverse gracilis musculocutaneous flap. Ann Plast Surg 1992;29:482–90. https://www.oncostream.com/en/videos/11-urologie/24-techniqueschirurgicales/9-curage Wechselberger G, Schoeller T, Bauer T, Schwabegger A, Ninkovic M, Rainer C, et al. Surgical technique and clinical application of the transverse gracilis myocutaneous free flap. Br J Plast Surg 2001;54:423–7. https://www.oncostream.com/en/videos/11-urologie/24-techniqueschirurgicales/10-paracervix Wechselberger G, Schoeller T. The transverse myocutaneous gracilis free flap: a valuable tissue source in autologous breast reconstruction. Plast Reconstr Surg 2004;114:69–73. https://www.oncostream.com/en/videos/11-urologie/24-techniqueschirurgicales/11-fermeture Schoeller T, Huemer GM, Wechselberger G. The transverse musculocutaneous gracilis flap for breast reconstruction: guidelines for flap and patient selection. Plast Reconstr Surg 2008;122:29–38. https://www.oncostream.com/en/videos/14-oncologie/78-laparoscopy-lowpressure/93-lowimpactlaparoscopyingynecology Schoeller T, Wechselberger G. Breast reconstruction by the free transverse gracilis (TUG) flap. Br J Plast Surg 2004;57:481–2. https://www.oncostream.com/en/videos/11-urologie/24-techniqueschirurgicales/12-exploration Fattah A, Figus A, Mathur B, Ramakrishnan VV. The transverse myocutaneous gracilis flap: technical refinements. J Plast Reconstr Aesthet Surg 2010;63:305–13. https://www.oncostream.com/en/videos/12-sarcomes/26-techniqueschirurgicales/13-metadifficile Vega SJ, Sandeen SN, Bossert RP, Perrone A, Ortiz L, Herrera H. Gracilis myocutaneous free flap in autologous breast reconstruction. Plast Reconstr Surg 2009;124:1400–9. - Microsurgeon.org Atlas of microsurgery techniques and principles, Rudy Buntic 2019, Transverse gracilis flap ( TUG), 11 April 2019,.