Our December Surgery Spotlight is particularly meaningful for us at PSEN, as it showcases a VUG flap surgery by our new ASPS president, David Song, MD.
In this video, Dr. Song demonstrates the use of a VUG (Vertical Upper Gracilis) flap for breast reconstruction. The patient is a 37-year-old female, with previous attempted alloplastic breast reconstruction on the left side after a bilateral mastectomy. She has undergone radiation and lost the implant due to infection. The use of the VUG flap is the secondary option in this case, as the patient did not have enough abdominal nor buttock donor site tissue available. This video demonstrates the use of the penrose drain, used to identify both the proximal and distal portion of the gracilis muscle and to confirm that the skin and fat are centered over the muscle. The complexity of this procedure stems from the irradiated tissue, and multiple prior episodes of infection and scarring, making the anastomosis more challenging than usual.
- Watch David Song, MD perform a vertical upper gracilis (VUG) flap during secondary breast reconstruction for free on PSEN.
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.
Filmed and produced by the Plastic Surgery Education Network (PSEN), Surgery Spotlights feature peer-reviewed, high-definition surgical video. It offers an excellent opportunity to study each step and technique as performed by the top names in the specialty.