EP 583 Tripedicle NSM in Combination with Extended TDAP Flap for Total Breast Reconstruction

Clicks: 1
ID: 324083
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #419 of 432 articles by views in the british journal of surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Aim To describe the surgical outcomes, feasibility, and patient-reported satisfaction following TP-NSSRM (Tripedicle-Nipple Sparing Skin Reducing Mastectomy) combined with extended TDAP flap for total breast reconstruction. Methods We prospectively evaluated 45 patients who underwent TP-NSSRM combined with extended TDAP flap reconstruction. Patient demographics, oncological characteristics, operative parameters, and postoperative outcomes were recorded. Operation time, intraoperative bleeding, flap survival, aesthetic outcomes, patient satisfaction, and complications were analyzed. Result The mean operation time was 182.8 ± 28.6 minutes. Mean intraoperative bleeding was 242.3 ± 36.5 ml. The mean drainage per day was 86.7 ± 24.2 ml with mean duration till drain removal of 4.18 ± 0.92 days. Complete flap survival was achieved in 44 patients (97.8%), with one case of partial flap necrosis requiring debridement and secondary reconstruction. Nipple-areola complex necrosis occurred in 2 patients (4.4%), managed conservatively. Minor complications included seroma formation in 3 patients (6.7%) and wound dehiscence in 2 patients (4.4%). No major complications such as hematoma requiring reoperation or complete flap loss were observed. Patient satisfaction scores at 6 months showed excellent results in 38 patients (84.4%), good results in 6 patients (13.3%), and fair results in 1 patient (2.2%). Conclusion TP-NSSRM combined with extended TDAP flap is a safe and effective technique for total autologous breast reconstruction in patients with large and ptotic breasts. This approach demonstrates high flap survival rates, low complication rates, and excellent patient satisfaction. The technique provides adequate volume replacement without implants, making it particularly suitable for patients requiring post-mastectomy radiotherapy or those preferring autologous reconstruction.
Reference Key
openalex_W7172517398 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors K Barakāt, Ahmed Abdullatif Abdelkader, Mohamed Asal
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.625
URL
https://doi.org/10.1093/bjs/znag087.625
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.