Dorsal thoracic fasciocutaneous flap salvage of the failed transverse rectus abdominis musculocutaneous flap.

Abstract

The pedicled lower transverse rectus abdominis musculocutaneous flap, now considered the standard for breast reconstruction using autologous tissues, still may be plagued occasionally by significant flap necrosis in spite of the best intentions. Rather than discarding the residual flap, it may suffice as an autologous implant if an additional source of tissue can be used for surface coverage. The dorsal thoracic fasciocutaneous free flap provides such a large, yet reasonably thin, skin territory that can uniformly cover the new breast, ultimately salvaging an acceptable result after a partially failed transverse rectus abdominis musculocutaneous flap.