In this month’s Surgery Spotlight, Joseph Dayan, MD performs a Diagonal Upper Gracilis (DUG) Flap dissection on a young woman for delayed breast reconstruction. The DUG flap is oriented parallel to Langer’s lines, allowing for a straight line closure along the line of least tension and can be rapidly elevated in the supine position. This results in a low risk of potential wound healing complications and a wider flap dimension compared to transversely-oriented flaps such as the TUG or PAP. In addition, the orientation of the donor site closure contours the thigh, minimizing the risk of a “shark bite” appearance. The DUG flap is particularly useful in thin patients such as this one, or patients who do not have a DIEP flap donor site option. Chapters of this video include DUG flap markings, flap elevation, recipient vessel preparation, anastomosis and flap inset.
Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD Library. Surgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).