Donor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes

The transverse musculocutaneous gracilis (TMG) flap has become a popular choice for breast reconstruction. This study aimed to compare the donor site morbidity in unilateral and bilateral procedures. Patients receiving a TMG flap (January 2008–October 2019) were invited to a follow-up and grouped ac...

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Autores principales:	Laura Cosima Siegwart, Anca Bolbos, Valentin Felix Haug, Yannick Fabian Diehm, Ulrich Kneser, Dimitra Kotsougiani-Fischer
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	TMG flap transverse musculocutaneous gracilis flap donor site morbidity breast reconstruction autologous breast reconstruction breast cancer Medicine R
Acceso en línea:	https://doaj.org/article/2af3b420806f4a42b8a6171be97b3a35
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spelling	oai:doaj.org-article:2af3b420806f4a42b8a6171be97b3a352021-11-11T17:41:21ZDonor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes10.3390/jcm102150662077-0383https://doaj.org/article/2af3b420806f4a42b8a6171be97b3a352021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5066https://doaj.org/toc/2077-0383The transverse musculocutaneous gracilis (TMG) flap has become a popular choice for breast reconstruction. This study aimed to compare the donor site morbidity in unilateral and bilateral procedures. Patients receiving a TMG flap (January 2008–October 2019) were invited to a follow-up and grouped according to unilateral (UL group) or bilateral (BL group) breast reconstruction. Outcome criteria included sensation, function and aesthesis of the thighs. Patient-reported outcomes were surveyed using validated questionnaires. The number and kind of refinement procedures for aesthetic purposes on the donor thighs were evaluated. Thirty-eight patients with 59 TMG flaps were included in the study (UL group: <i>n</i> = 17, BL group: <i>n</i> = 21). Normal to slightly diminished superficial skin sensation was maintained in most of the thigh skin (98.4%). Strength and mobility were without impairment in >80% of the thighs in both groups. Thigh symmetry was achieved in both groups. Symmetrisation procedures were significantly more often performed in the UL group (<i>p</i> = 0.005). The total number of refinement procedures was similar in both groups. Patient-reported outcomes were similar with good appearance of the thighs and scars, excellent function and low pain levels. The TMG flap offers excellent function and sensation on the donor thigh. Thigh symmetry and good patient satisfaction may be achieved in both unilateral and bilateral breast reconstructions.Laura Cosima SiegwartAnca BolbosValentin Felix HaugYannick Fabian DiehmUlrich KneserDimitra Kotsougiani-FischerMDPI AGarticleTMG flaptransverse musculocutaneous gracilis flapdonor site morbiditybreast reconstructionautologous breast reconstructionbreast cancerMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5066, p 5066 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	TMG flap transverse musculocutaneous gracilis flap donor site morbidity breast reconstruction autologous breast reconstruction breast cancer Medicine R
spellingShingle	TMG flap transverse musculocutaneous gracilis flap donor site morbidity breast reconstruction autologous breast reconstruction breast cancer Medicine R Laura Cosima Siegwart Anca Bolbos Valentin Felix Haug Yannick Fabian Diehm Ulrich Kneser Dimitra Kotsougiani-Fischer Donor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes
description	The transverse musculocutaneous gracilis (TMG) flap has become a popular choice for breast reconstruction. This study aimed to compare the donor site morbidity in unilateral and bilateral procedures. Patients receiving a TMG flap (January 2008–October 2019) were invited to a follow-up and grouped according to unilateral (UL group) or bilateral (BL group) breast reconstruction. Outcome criteria included sensation, function and aesthesis of the thighs. Patient-reported outcomes were surveyed using validated questionnaires. The number and kind of refinement procedures for aesthetic purposes on the donor thighs were evaluated. Thirty-eight patients with 59 TMG flaps were included in the study (UL group: <i>n</i> = 17, BL group: <i>n</i> = 21). Normal to slightly diminished superficial skin sensation was maintained in most of the thigh skin (98.4%). Strength and mobility were without impairment in >80% of the thighs in both groups. Thigh symmetry was achieved in both groups. Symmetrisation procedures were significantly more often performed in the UL group (<i>p</i> = 0.005). The total number of refinement procedures was similar in both groups. Patient-reported outcomes were similar with good appearance of the thighs and scars, excellent function and low pain levels. The TMG flap offers excellent function and sensation on the donor thigh. Thigh symmetry and good patient satisfaction may be achieved in both unilateral and bilateral breast reconstructions.
format	article
author	Laura Cosima Siegwart Anca Bolbos Valentin Felix Haug Yannick Fabian Diehm Ulrich Kneser Dimitra Kotsougiani-Fischer
author_facet	Laura Cosima Siegwart Anca Bolbos Valentin Felix Haug Yannick Fabian Diehm Ulrich Kneser Dimitra Kotsougiani-Fischer
author_sort	Laura Cosima Siegwart
title	Donor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes
title_short	Donor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes
title_full	Donor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes
title_fullStr	Donor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes
title_full_unstemmed	Donor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes
title_sort	donor site morbidity in unilateral and bilateral transverse musculocutaneous gracilis (tmg) flap breast reconstruction: sensation, function, aesthesis and patient-reported outcomes
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/2af3b420806f4a42b8a6171be97b3a35
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Donor Site Morbidity in Unilateral and Bilateral Transverse Musculocutaneous Gracilis (TMG) Flap Breast Reconstruction: Sensation, Function, Aesthesis and Patient-Reported Outcomes

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