179840

Breast reconstruction using internal mammary artery perforator (IMAP) flap

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Last updated: 05 Jan 2025

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Abstract

Post mastectomy reconstruction using the internal  mammary artery perforator  (!MAP) flap, previously  called  breast-sharing technique, is an appealing procedure  because  it utilizes  the tissue  to  be excised  during  reduction  of  the residual  breast  to achieve  symmetry.  Literature mentioned that this  tissue  is supplied  by the lower !MAPs with no further  details.  The  aim of this study was tore-explore the old theme of breast-sharing by describing the !MAPs included in the pedicle of this breast-derived flap via using color Duplex  ultrasound preoperatively, thus re-introducing the flap under  a name  relating  to its exact  vascular  supply, that is, !MAP  flap. Six  breasts  of six patients  presented  for post mastectomy reconstruction were preoperatively screened  via color  duplex,  and were  operated  on. Three  cases (50  %) underwent completely successful  !MAP  flap  breast  reconstruction, two (66. 7 %)  experienced partial  flap  loss,  and one patient  (16. 7 %)  had total  flap necrosis.  We see the !MAP  flap deserves  to be within  the repertoire of the plastic  surgeon to be prudently employed in the properly  selected  patients.

DOI

10.21608/asjs.2013.179840

Keywords

Internal mammary artery perforator flap, !MAP, Breast Reconstruction, Color duplex, breast sharing, cross-breast flap

Authors

First Name

Kareem

Last Name

Abdelmonem

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Affiliation

Department of Plastic Surgery, Ain Shams University, Cairo, Egypt.

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Orcid

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First Name

Ahmed

Last Name

Elshahat

MiddleName

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Affiliation

Department of Plastic Surgery, Ain Shams University, Cairo, Egypt.

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Orcid

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First Name

Hossam

Last Name

Abol-Atta

MiddleName

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Affiliation

Department of Plastic Surgery, Ain Shams University, Cairo, Egypt.

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Orcid

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First Name

Sherif

Last Name

Abou-Gamrah

MiddleName

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Affiliation

Department of Radiodiagnosis, Ain Shams University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Reda

Last Name

Abd Eltawab

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt.

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City

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Orcid

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First Name

Karim

Last Name

Massoud

MiddleName

-

Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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Orcid

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Volume

6

Article Issue

1

Related Issue

25656

Issue Date

2013-01-01

Receive Date

2021-06-25

Publish Date

2013-01-01

Page Start

173

Page End

190

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_179840.html

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https://asjs.journals.ekb.eg/service?article_code=179840

Order

21

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Breast reconstruction using internal mammary artery perforator (IMAP) flap

Details

Type

Article

Created At

23 Jan 2023