The first use of a
Free Abdominoplasty Flap
in Breast Reconstruction
Last year marked the 40th anniversary of the first use of a microvascular free abdominoplasty flap used in breast reconstruction.
The real story of this pioneering surgery has been hidden for decades.
Dr Richard Hamilton, who was involved in both the research and surgery at the time, is correcting history by acknowledging the ground-breaking work done in Australia and Sweden, particularly by Dr Ingemar Fogdestam.
Watch Short Version of Video: Dr Richard Hamilton provides the history of the use of abdominoplasty flap used in breast reconstruction, pioneered by Australia and Sweden.
The Real Story
Following the first successful operation in 1978, the study was published in the Scandinavian Journal of Plastic Surgery under the name of the acting editor at the time, Hans Holmström. This led to Holmström alone being credited with the work.
This erased the groundbreaking contributions by those who were involved from both Australia and Sweden.
The breakthrough was actually driven and performed by Professors and Surgeons from St Vincent’s Hospital in Melbourne, Australia and Sahlgrenska University Hospital in Gothenburg, Sweden.
This included the original idea by Professor Bengt Johanson to adapt a free abdominoplasty flap to breast reconstruction following radical mastectomy; the pioneering international outreach work from Dr Bernard O’Brien; and microsurgeons Dr Ingemar Fogdestam and Dr Richard Hamilton, who conducted the research and performed the first surgery.
Professor Bengt Johanson, Head of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg, 1956–1986.
Richard Hamilton MBBS FRACS
Hamilton House Plastic Surgery
Adelaide, South Australia
Ingemar Fogdestam MD PhD
Docent Sahlgrenska University Hospital
The Full History
You can find out more about the history of this remarkable achievement via the following resources: