Figure 1
(A) A 37-year-old woman with invasive ductal carcinoma in the right outer quadrant close to the areola. A1: Location and peak systolic flow velocities of the perforators were assessed with pre-operative color-flow duplex ultrasound scanning. A2: The patient had a previous low midline abdominal scar and breast reconstruction with a single-pedicle transverse rectus abdominis myocutaneous (SP-TRAM) flap was planned. A3: The patient underwent mastectomy with immediate reconstruction using single-pedicle TRAM flap and was followed for 20 months. (B) A 50-year-old woman with invasive ductal carcinoma in the right central quadrant. B1: The perforator locations and peak systolic flow velocities were detected by pre-operative color-flow duplex scanning. B2: The patient had previous low midline abdominal scar and was scheduled for mastectomy with immediate SP-TRAM flap breast reconstruction. B3: The same patient at 6 months after surgery.
