A Novel Stacked SIEA Flap for Unilateral Immediate Breast Reconstruction
نویسندگان
چکیده
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 tissue to recreate a symmetrical contralateral breast shape and volume, stacking flaps using a bipedicled technique has been shown to be an efficacious technique for achieving adequate volume.2 Bilateral DIEP flaps are typically stacked for unilateral reconstruction. Alternatively, a single DIEP can be combined with another autologous flap, most commonly the profunda artery perforator (PAP) and superior gluteal artery perforator flaps to achieve the desired volume.3 Stacking superficial inferior epigastric artery (SIEA) flaps are sparsely reported in the literature.Malata et al reported a single case over of a Hamdi type1 bipedicled immediate stacked SIEA over a 40-month period with 112 consecutive flaps,4 and Murray et al reported a single case of a delayed stacked SIEA reconstruction over a 5-year period with 18 consecutive unilateral stacked breast reconstructions.5 To our knowledge, this is the first reported case of stacked perforator-to-perforator SIEA flap for an immediate unilateral breast reconstruction.
منابع مشابه
ANATOMY OF THE SUPERFICIAL INFERIOR EPIGASTRIC ARTERY FLAP
ABSTRACT Background: Several case studies have described the use of the superficial inferior epigastric artery (SIEA) flap as a pedicled flap for reconstruction of upper and lower ex tremities, or a free fasciocutaneous flap when a large amount of skin coverage is required for hemifacial atrophy, breast or head and neck reconstruction. Apparently, the anatomical findings of previous studies ar...
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