Prospective Study of Versatile Oncological Uses of Thoracodorsal Artery Perforator Flap in Breast Cancer Surgery

Abstract

Background: Since its introduction by Angrigiani the Thoracodorsal Artery Perforator (TDAP) flap has become a popularchoice in many aspects of breast reconstruction. It can provide either volume for partial or total breast reconstruction oras coverage for chest wall defects.Aim: The aim of this study is to assess the technique of TDAP flap as a versatile tool for different purposes in breastcancer surgeries as regard; feasibility, complications and cosmetic outcome.Patients and Methods: This is a prospective study which was conducted on 30 female patients with breast cancer whowere aiming for either breast conservative surgery or total reconstruction after mastectomy or those who needed chest wall coverage after mastectomy. Patients were admitted to the Surgical Oncology Unit, Alexandria Main University Hospital.Results: In most of our patients (21 case 70%), TDAP flap was used for immediate partial breast reconstruction afterBCS. Complications was detected in 60% of cases yet most of these complications were minor ones and were managedconservatively. Only 2 cases (6.7%) had total flap loss. Doner site morbidity was minimal as only 4 cases expressed postoperative seroma. Most of our patients (80%) were satisfied with the aesthetic and functional outcomes after surgery.Shoulder function was nearly unaffected as compared to preoperative assessment.Conclusion: The TDAP flap represents a valuable option in breast reconstruction, offering reliable results with low donorsite morbidity. It is particularly advantageous in cases where other reconstructive options are limited or when musclepreservation is a priority.