Septocutaneous gluteal artery perforator (sc-GAP) flap for breast reconstruction: how we do it PREOPERATIVE LANDMARKS Step 1: Every patient undergoes preoperative imaging before surgery. Only patients with a suitable septocutaneous perforator are scheduled for breast reconstruction with sc-GAP (75%). In MRA a septocutaneous perforator is considered suitable for surgery if the pedicle length is 6 cm or more. Step 2: On the MRA the projection of the septocutaneous perforator on the surface of the patient is identified: because the gluteal region is not flat (as for example is the abdominal region) the distance of the perforator from the midline is calculated on the curvature of the gluteal region (x axis) (fig 6.7). Figure 6.7 MRA imaging showing the measurement of the distance from the midline to the skin projection of the perforator chosen as pedicle for the sc-GAP. 98
5. lay-out phd DEFINITIEF_digitaal2
To see the actual publication please follow the link above