J Reconstr Microsurg 2008; 24(8): 595-598
DOI: 10.1055/s-0028-1090605
© Thieme Medical Publishers

Recipient Vessel Exposure in the Axilla during Microvascular Breast Reconstruction

Andreas Gravvanis1 , Robert H. Caulfield1 , Venkat Ramakrishnan1 , Niri Niranjan1
  • 1St. Andrews Centre for Plastic Surgery, Broomfield Hospital, United Kingdom
Further Information

Publication History

Publication Date:
29 September 2008 (online)


Over the years, the favored recipient vessels for microvascular breast reconstruction have changed from the thoracodorsal to the internal mammary vessels, mainly due to the deep position and poor exposure of the vessels in the axilla and all the technical difficulties this reflects. We used the simple maneuver of arm adduction during microvascular anastomoses in the axilla and compared it with the conventional method of abducted arm regarding the exposure of the vessels, the position of the operator and the assistant, and the operative time. We found that this innovation considerably improved the exposure of the vessels and the operator's position, facilitating easier and faster anastomoses.


Andreas Gravvanis, M.D. , Ph.D. , F.E.B.O.P.R.A.S. 

Queen Victoria Hospital NHS Foundation Trust, Holtye Road

East Grinstead, West Sussex, RH19 3DZ, UK

Email: [email protected]