ePlasty: Vol. 19
A Novel Technique for Augmenting Venous Outflow in the Superior Gluteal Artery Perforator (SGAP) Flap
We herein describe a novel method for augmenting venous outflow in the SGAP flap in the setting of breast reconstruction.
A Novel Technique for Augmenting Venous Outflow in the Superior Gluteal Artery Perforator (SGAP) Flap
Katherine H. Carruthers, MD, MS,a Ergun Kocak, MD, MS,b Pankaj Tiwari, MD,b and Shunsuke Yoshida, MDb

aDivision of Plastic Surgery, Department of Surgery, West Virginia University, Morgantown; and bMidwest Breast and Aesthetic Surgery, Gahanna, Ohio


Correspondence: katherine.carruthers@hsc.wvu.edu; carruthers.24@gmail.com
Keywords: venous insufficiency, SGAP, autologous reconstruction, CTA, perforator flap

In microvascular surgery, venous insufficiency is one of the most common complications leading to reoperation. To address this issue, techniques involving venous bypass or augmentation of venous outflow have been employed in a variety of free flap procedures. For example, the deep inferior epigastric artery perforator (DIEP) flap has a well-established method for augmenting the venous outflow by d .......