"Mini-Flow-Through" Deep Inferior Epigastric Perforator Flap for Breast Reconstruction with Preservation of Both Internal Mammary and Deep Inferior Epigastric Vessels
Archives of Plastic Surgery
;
: 783-787, 2015.
Article
in English
| WPRIM
| ID: wpr-60227
ABSTRACT
This procedure was developed for preservation of the rectus muscle components and deep inferior epigastric vessel after deep inferior epigastric perforator (DIEP) flap harvesting. A 53-year-old woman with granuloma caused by silicone injection underwent bilateral nipple-sparing mastectomies and immediate reconstruction with "mini-flow-through" DIEP flaps. The flaps were dissected based on the single largest perforator with a short segment of the lateral branch of the deep inferior epigastric vessel that was transected as a free flap for breast reconstruction. The short segments of the donor deep inferior epigastric vessel branch are primarily end-to-end anastomosed to each other. A short T-shaped pedicle mini-flow-through DIEP flap is interposed in the incised recipient's internal mammary vessels with two arterial and four concomitant venous anastomoses. Although it requires multiple vascular anastomoses and a short pedicle for the flap setting, the mini-flow-through DIEP flap provides a large pedicle caliber, enabling safer microsurgical anastomosis and well-vascularized tissue for creating a natural breast without consuming time or compromising the rectus muscle components and vascular flow of both the deep inferior epigastric and internal mammary vessels.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Silicon
/
Silicones
/
Tissue Donors
/
Breast
/
Mastectomy, Subcutaneous
/
Mammaplasty
/
Free Tissue Flaps
/
Perforator Flap
/
Granuloma
/
Mastectomy
Limits:
Female
/
Humans
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2015
Type:
Article
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