Selection of flaps for breast reconstruction

Factor	Free TRAM	DIEP	SIEA
Breast volume requirements
<800 g	+	++	+
>800 g	++	+	No
Abdominal fat
Mild to moderate	+	++	+
Severe	++	+	No
Perforators >1.5 mm
0	+	No	No
>1	+	++	+
Bilateral	+	++	+

The table demonstrates the utility of the various types of flaps (+ useful, ++ very useful) depending on anatomic characteristics.

TRAM: transversus abdominis myocutaneous flap; DIEP: deep inferior epigastric perforator flap; SIEA: superficial inferior epigastric artery flap.

From: Nahabedian MY, Patel K. Autologous Flap Breast Reconstruction: Surgical Algorithm and Patient Selection. J Surg Oncol 2016; 113(8):865-74. https://onlinelibrary.wiley.com/doi/10.1002/jso.24208. Copyright © 2016 Wiley Periodicals, Inc. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).

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Selection of flaps for breast reconstruction