Download PDF
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)

Also available at
    Permissions and Reprints

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.

KEYWORD

Autogenous breast reconstruction - transplantation - identical twin transplants - perforator artery flap

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
    PubMedGoogle Scholar
  • 2 Tilney N L. Renal transplantation between identical twins: a review.  World J Surg . 1986;  10 381-388
    CrossrefPubMedGoogle Scholar
  • 3 Benedetti E, Dunn T, Massad M G. Successful living related simultaneous pancreas-kidney transplant between identical twins.  Transplantation . 1999;  67 915-934
    PubMedGoogle Scholar
  • 4 Kortholm B. Transplantation between monozygotic twins.  Scand J Plast Reconstr Surg . 1968;  2 64-66
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 7 Bertolino A P. Hair transplantation between identical twins.  J Am Acad Dermatol . 1988;  19 418-421
    PubMedGoogle Scholar
  • 8 Donovan J, Maizels M. Transplantation of the prepuce to facilitate hypospadias repair in monozygotic twins.  J Urol . 1986;  136 1077-1079
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 13 Cheever M A, Fefer A, Greenberg P D. Identical twin bone marrow transplantation for hairy cell leukemia.  Sem Oncol . 1984;  11 511-513
    PubMedGoogle Scholar
  • 14 Gale R P, Horowitz M M, Ash R C. Identical twin bone marrow transplants for leukemia.  Ann Intern Med . 1994;  120 646-652
    PubMedGoogle Scholar
  • 15 Koshima I, Soeda S. Inferior epigastric artery skin flap without rectus abdominis muscle.  Br J Plast Surg . 1989;  42 645-48
    CrossrefPubMedGoogle Scholar
  • 16 Allen R J, Treece P. Deep inferior epigastric perforator flap for breast reconstruction.  Ann Plast Surg . 1994;  32 32
    Google Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar