Best myocutaneous flap for breast reconstruction:
Methods of breast reconstruction: Autogenous - tissues of the patient used to create a myocutaneous flap Eg: TRAM, LD Alloplastic - silicone implant Combined - uses TRAM + implant or LD + implant Most common method of breast reconstruction / augmentation worldwide: silicone implants. IOC for implant related complications: MRI Best method for breast reconstruction: DIEP > TRAM DIEP: deep inferior epigastric vessels flap TRAM: transverse rectus abdominal muscle LD: latissimus dorsi flap.
Pectoralis minor
Pectoralis major
Latissimus dorsi
Transverse rectus abdominis
Breast