Chest wall reconstruction for locally advanced breast cancer with the V-Y thoracoabdominal perforator flap

We would like to briefly describe the use of a V-Y advancement fasciocutaneous flap based on anterior thoracoabdominal wall perforators. This flap involves a large triangular area of the anterolateral abdominal wall. The three edges of the flap are dissected down to the muscular level. The flap is centered on perforators arising from the deep superior epigastric artery and intercostal arteries, which are identified and preserved. As these perforators are located centrally, the boundaries of the flap can be dissected free to allow mobilization. The flap is then advanced and the defect closed directly