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Chapter 5 The introduction of the sc-GAP flap has been made possible by the improvement of preoperative imaging techniques. Developments in radio- graphic imaging have supported preoperative flap design and planning. The ability to identify septocutaneous perforators preoperatively has decreased the level of difficulty for perforator flaps. Intraoperative flap celevation is now more predictable and straightforward, which makes dissection faster and easier. Hypothetically, easier perforator flap dissection should also lead to a lower complication rate. We feel that the sc-GAP flap is a viable technique for autologous tissue breast reconstruction that may be easier to master than the traditional S-GAP and I-GAP procedures. In conclusion, we recommend the sc-GAP flap as a simple and reliable approach to gluteal artery perforator flaps for microsurgical breast reconstruction. 77


5. lay-out phd DEFINITIEF_digitaal2
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