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Septocutaneous gluteal artery perforator (sc-GAP) fl ap for breast reconstruction: how we do it This ensures that, when marking proves not to be exact enough or the perforator chosen at fi rst instance is damaged, alternative septocutaneous perforators, if present, can be used as pedicle for the fl ap. Out of experience the elliptical skin island now is changed in an S-shape to avoid undesirable dog ears medially and laterally (fi g 6.11 A, B). The pinch test is used to identify the maximal width of the fl ap. The fl ap is just orientated a bit more cranial than the standard drawing of an S-GAP fl ap (fi g 6.12). line A 2 line B 1 Figure 6.12 Schematic illustration of (1) region where a standard S-GAP is usually drawn and (2) region where the sc-GAP is drawn. Illustration of Greet Mommen, www.greetmommen.be. 102


5. lay-out phd DEFINITIEF_digitaal2
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