Semin Plast Surg 2002; 16(1): 101-108
DOI: 10.1055/s-2002-22685
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Transplantation in Breast Reconstruction

Jonathan L. Kaplan1 , Robert J. Allen2
  • 1Department of Surgery, Louisiana State University School of Medicine, New Orleans, LA
  • 2Section of Plastic Surgery, Louisiana State University Health Sciences Center, New Orleans, LA
Further Information

Publication History

Publication Date:
22 March 2002 (online)

ABSTRACT

The field of plastic surgery has always dealt with the issue of molding tissue and tissue transfer. For this reason and others, the fact that plastic surgery was the historical forerunner of transplant surgery is no surprise. This evolution was demonstrated very clearly in 1954. This was the year that Dr. Joseph E. Murray and a team of surgeons in Boston performed the first successful kidney transplant between identical twins. The transformation of this one aspect of plastic surgery into the field of transplant surgery has continued to evolve ever since. Kidney transplants between unrelated patients are now commonplace in many medical centers. The practice of transplantation has come to include several other organs and complex tissues such as the pancreas, liver, and hand. Now, most recently, tissue has been transferred from one identical twin to the other for the purpose of breast reconstruction. For the first time ever documented, a deep inferior epigastric perforator flap and a superficial inferior epigastric artery flap were transplanted from one identical twin to another in two separate cases for the purpose of breast reconstruction. The following article briefly discusses a contemporary history of transplantation and provides these two case reports of this seminal procedure between identical sisters.

REFERENCES

  • 1 Merrill J P, Murray J E, Harrison J H. Successful homotransplantation of the human kidney between identical twins.  JAMA . 1956;  160 277-282
  • 2 Tilney N L. Renal transplantation between identical twins: a review.  World J Surg . 1986;  10 381-388
  • 3 Benedetti E, Dunn T, Massad M G. Successful living related simultaneous pancreas-kidney transplant between identical twins.  Transplantation . 1999;  67 915-934
  • 4 Kortholm B. Transplantation between monozygotic twins.  Scand J Plast Reconstr Surg . 1968;  2 64-66
  • 5 Buncke H J, Hoffman W Y, Alpert B A. Microvascular transplant of two free scalp flaps between identical twins.  Plast Reconstr Surg . 1982;  70 605-609
  • 6 Valauri F A, Buncke H J, Alpert B S. Microvascular transplantation of expanded free scalp flaps between identical twins.  Plast Reconstr Surg . 1990;  85 432-436
  • 7 Bertolino A P. Hair transplantation between identical twins.  J Am Acad Dermatol . 1988;  19 418-421
  • 8 Donovan J, Maizels M. Transplantation of the prepuce to facilitate hypospadias repair in monozygotic twins.  J Urol . 1986;  136 1077-1079
  • 9 Weiss R E, Garden R J, Stone N N. Isograft bladder mucosal transplantation for hypospadias repair in identical twins.  J Urol . 1993;  150 1884-1885
  • 10 Fefer A, Buckner C D, Thomas E D. Cure of hematologic neoplasia with transplantation of marrow from identical twins.  N Engl J Med . 1977;  297 146-148
  • 11 Rappeport J, Mihm M, Reinharz E. Acute graft-versus-host disease in recipients of bone-marrow transplants from identical twin donors.  Lancet . 1979;  717-720
  • 12 Appelbaum F R, Fefer A, Cheever M A. Treatment of non-Hodgkin's lymphoma with marrow transplantation in identical twins.  Blood . 1981;  58 509-513
  • 13 Cheever M A, Fefer A, Greenberg P D. Identical twin bone marrow transplantation for hairy cell leukemia.  Sem Oncol . 1984;  11 511-513
  • 14 Gale R P, Horowitz M M, Ash R C. Identical twin bone marrow transplants for leukemia.  Ann Intern Med . 1994;  120 646-652
  • 15 Koshima I, Soeda S. Inferior epigastric artery skin flap without rectus abdominis muscle.  Br J Plast Surg . 1989;  42 645-48
  • 16 Allen R J, Treece P. Deep inferior epigastric perforator flap for breast reconstruction.  Ann Plast Surg . 1994;  32 32
  • 17 Blondeel P h, Vanderstraeten G G, Monstrey S J. The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction.  Br J Plast Surg . 1997;  50 322-330
  • 18 Blondeel P h, Boeckx W D, Vanderstraeten G G. The fate of the oblique muscles after free TRAM flap surgery.  Br J Plast Surg . 1997;  50 315-321
  • 19 Kaplan J L, Allen R J. A cost-based analysis of perforator flaps versus TRAM flaps in breast reconstruction.  Plast Reconstr Surg . 2000;  105 943-948
  • 20 St. Clair M D, St. Clair B J, Swainson C P. Twin zygosity testing for medical purposes.  Am J Med Genet . 1998;  77 412-414
  • 21 Sumethkul V, Jirasiritham S, Sura T. Renal transplantation between identical twins: the application of reciprocal full-thickness skin grafts as a guideline for antirejection therapy.  Transplant Proc . 1994;  26 2141-2142
  • 22 Jones L, Thein S L, Jeffreys A J. Identical twin marrow transplantation for 5 patients with chronic myeloid leukemia: role of DNA finger-printing to confirm monozygosity in 3 cases.  Eur J Haematol . 1987;  39 144-147
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