Abstract: The Use of Both Antegrade and Retrograde Internal Mammary Vessels in the Bipedicled (double-barrel) Deep Inferior Epigastric Perforator Flap for Unilateral Breast Reconstruction
نویسندگان
چکیده
Suday, Sptem er 5, 2016 congestion in abdominally based autologous breast reconstruction. Plast Reconst Surg 129(4):809–815. 2012. 2. Granzow JW, Levine JL, Chiu ES, Allen RJ. Breast reconstruction with the deep inferior epigastric perforator flap: History and an update on current technique. Journal of Plastic, Reconstructive, and Aesthetic Surgery 59:571–579, 2006. 3. Bast J, Pitcher AA, Small K, Otterburn DM. Suprascarpal fat pad thickness may predict venous drainage patterns in abdominal wall flaps. Microsurgery 2016;36(2):99–103.
منابع مشابه
CASE REPORT The Use of Both Antegrade and Retrograde Internal Mammary Vessels in a Folded, Stacked Deep Inferior Epigastric Artery Perforator Flap
OBJECTIVE Deep inferior epigastric artery perforator (DIEP) flap is an excellent option for breast reconstruction in young and active patients who have a history of chest wall radiation. One drawback, however, is that the entire capacity of abdominal pannus cannot be reliably transferred on a single pedicle. The purpose of this case report is to demonstrate a method of maximizing the volume of ...
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Breast reconstruction using a perforator-based autologous flap is increasingly recognized as the preferred technique that provides an aesthetically pleasing restoration of breast form and volumewith longevity. Autologous flap reconstruction is widely accepted as the gold standard with deep inferior epigastric artery perforator (DIEP) flap being favored.1 When there is insufficient abdominal tis...
متن کاملUsefulness of Stabilizer for Microanastomoses of Internal Thoracic Vessels during DIEP Flap Breast Reconstruction
The lower abdominal region is the most useful donor site for breast reconstruction. After Holmström and Robbins described the free transverse rectus abdominis myocutaneous flap, Koshima and Soeda transformed the flap into the deep inferior epigastric artery perforator (DIEP) flap.1–3 The DIEP flap has become popular for breast reconstruction throughout the world. However, free flap transfer req...
متن کامل"Mini-Flow-Through" Deep Inferior Epigastric Perforator Flap for Breast Reconstruction with Preservation of Both Internal Mammary and Deep Inferior Epigastric Vessels
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 s...
متن کاملDecision Making in Double-Pedicled DIEP and SIEA Abdominal Free Flap Breast Reconstructions: An Algorithmic Approach and Comprehensive Classification
INTRODUCTION The deep inferior epigastric artery perforator free flap is the gold standard for autologous breast reconstruction. However, using a single vascular pedicle may not yield sufficient tissue in patients with midline scars or insufficient lower abdominal pannus. Double-pedicled free flaps overcome this problem using different vascular arrangements to harvest the entire lower abdominal...
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