Best myocutaneous flap for breast reconstruction:: (A) Pectoralis minor, (B) Pectoralis major, (C) Latissimus dorsi, (D) Transverse rectus abdominis
Answer is D. 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.