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Refinements of the deep inferior epigastric perforator (DIEP) flap for optimal blood supply

2008; Elsevier BV; Volume: 61; Issue: 4 Linguagem: Inglês

10.1016/j.bjps.2007.12.010

1878-0539

Joanna Skillman, David Pennington,

Breast Implant and Reconstruction

We read with interest the paper by Schoeller et al. 1 Schoeller T. Wechselberger G. Roger J. et al. Management of infraumbilical vertical scars in DIEP-flaps by crossover anastomosis. J Plast Reconstr Aesthet Surg. 2007; 60: 524-528 Google Scholar to increase the safety of the DIEP flap in patients with an infraumbilical scar. They describe clearly ‘in flap microvascular augmentation’, by anastomosing the superior epigastric vessels of the DIEP flap to a contralateral paraumbilical perforator. Management of infraumbilical vertical scars in DIEP-flaps by crossover anastomosisJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 60Issue 5PreviewThe deep inferior epigastric perforator (DIEP)-flap continues to be the standard treatment in microsurgical breast reconstruction. Reasons for the popularity of the DIEP-flap include the availability of a large amount of tissue for the reconstruction of large breasts, a reliable vascular anatomy and an aesthetically pleasing donor site scar. However, the DIEP-flap is not considered the optimal choice as the donor tissue in all patients. Previous abdominal surgeries with resulting scars may threaten the success of a free DIEP-flap due to compromised vascularity within the flap. Full-Text PDF