Abstract
The profunda artery perforator (PAP) flap is a favorable flap for autologous breast reconstruction as it leaves a donor scar in the upper medial thigh, depending on design. Preoperative imaging with computed tomography angiography or magnetic resonance angiography is a useful adjunct in surgical planning and efficiency. The dissection of the PAP flap is straightforward. The perforator is dissected through the adductor magnus muscle, providing a mean pedicle length of 10cm and an average flap weight of 360g. The donor site of the PAP flap has been shown to have an acceptable complication profile when compared with deep inferior epigastric perforators (DIEP) flap reconstruction. The PAP flap should be strongly considered as an alternative reconstructive option when the DIEP flap is not available.
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