Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.
  Table of Contents / Chapter 24:
Superior Gluteal Free Flap for Breast Reconstruction
  FIG. 24-13. Recipient site preoperative planning. The latissimus dorsi will be advanced superiorly and the gluteus maximus free flap with interposition vein grafts from the axillary vessels is planned.

FIG. 24-14. Donor site preoperative planning.

FIG. 24-15. Vein graft, end-to-side to the axillary vessels creating an A-V fistula loop.

FIG. 24-16. Revascularization of the superior gluteal free flap by division of the A-V fistula and completion of the anastomoses of the interposition vein grafts.

FIG. 24-17. Donor site wound.

FIG. 24-18. Frontal view after later nipple reconstruction.

FIG. 24-19. Oblique view.


1. Czerny, V.: Plastic replacement of the breast with a lipoma. Chir. Kong. Verhandl. 2:216, 1895.

2. Berson, M.J.: Dermal fat fascia transplant used in building up breasts. Surgery 15:451, 1944.

3. Barnes, H.O.: Augmentation mammoplasty by lipotransplant. Plast. Reconstr. Surg. 11:404-414, 1953.


4. Watson, J.: Some observations on free fat grafts with reference to their use in mammoplasty. Br. J. Plast. Surg. 12:263-274, 1960.

5. Millard, D.R.: Breast reconstruction after radical mastectomy. Plast. Reconstr. Surg. 58:283, 1976.

6. Ryan, J.J.: Lower thoracic advancement technique in breast reconstruction. Clin. Plast. Surg. 11:277, 1984.

7. Orticochea, M.C.: Use of the buttock to reconstruct the breast. Br. J. Plast. Surg. 26:304-309, 1973.

8. Pontes, R.; Single stage reconstruction of the missing breast. Br. J. Plast. Surg. 26:377-380, 1973.

9. Marshall, D.R., Anstee, E.J., and Stapleton, M.J.: Post-mastectomy breast reconstruction using a breast sharing technique. Br. J. Plast. Surg. 34:426, 1981.

10. Millard, D.R.: Reconstruction mammoplasty using an economical flap from the opposite breast. Ann. Plast. Surg. 6:374, 1981.

11. Schneider, W.J., Hill, H.L., and Brown, R.G.: Latissimus dorsi myocutaneous flap for breast reconstruction. Br. J. Plast. Sung. 30:277, 1977.

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