Surgery Spotlight: Internal Mammary Vessel Exposure for Free Flap Breast Reconstruction-Surgery Spotlight: Internal Mammary Vessel Exposure for Free Flap Breast Reconstruction

Surgery Spotlight: Internal Mammary Vessel Exposure for Free Flap Breast Reconstruction

Video Transcription

Video Summary

The video details a delayed free flap reconstruction procedure following prior radiation and failed implant reconstruction in a female patient. The process involves utilizing the old scar to access the pocket, removing old scar tissue, and scoring or removing previously placed alloderm to allow lower pole expansion. It emphasizes the importance of adequate exposure of the medial rib area for successful flap placement on the muscle. Careful dissection is conducted to avoid pleural injury, and suitable vessels are prepared for the flap using microscopes and precise surgical instruments, ensuring preservation of crucial intercostal perforators.

Asset Caption

A female patient presents with prior radiation therapy and subsequent failed implant reconstruction, and now presents for a delayed free flap reconstruction.

Surgeon Scott Hollenbeck, MD; Brett Phillips, MD, MBA

Source Duke University Duke Plastic, Maxillofacial and Oral Surgery 2016

Disclosure This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Breast

Scott Hollenbeck MD

Brett Phillips MD MBA; Memben

free flap reconstruction

radiation

scar tissue removal

microsurgery

intercostal perforators