Our early experience in immediate total breast reconstruction with deep inferior epigastric artery perforator flap
Keywords:DIEP, Morbidity, Aesthetic outcome
Background: As the breast cancer diagnosis has increased over recent years, patient have become more informative regarding treatment and reconstructive options, hence the expectation of the results will be very high. Reconstruction of breast with best result and less donor site morbidity is the target.
Methods: A total of 20 cases were studied between January 2018 to January 2019 at our hospital to assess the outcome of deep inferior epigastric artery perforator (DIEP) flap for immediate breast reconstruction.
Results: A total of twenty DIEP flaps were performed. Mean time required for flap harvest was 125 minutes, and time taken for flap inset was 110 minutes. There was no flap loss in any of the twenty cases. Two patients had fat necrosis. All patients were satisfied with aesthetic outcome.
Conclusions: DIEP flap has good aesthetic result with less donor site morbidity.
Holmström H. The free abdominoplasty flap and its use in breast reconstruction: An experimental study and clinical case report. Scand J PlastReconstr Surg. 1979;13:423-7.
Hartrampf C R, Scheflan M, Black P W. Breast reconstruction with a transverse abdominal island flap. PlastReconstr Surg. 1982;69:216-25.
Robbins TH. Rectus abdominismyocutaneous flap for breast reconstruction. Aust N Z J Surg. 1979;49:527-30.
Craft RO, Colakoglu S, Curtis MS, Yueh JH, Lee BS, Tobias AM, et al. Patient satisfaction in unilateral and bilateral breast reconstruction. Plastic Reconstr Surg. 2011;127(4):1417-24.
Yap YL, Lim J, Yap-Asedillo C, Ong WC, Cheong EC, Naidu S, et al. The deep inferior epigastric perforator flap for breast reconstruction: is this the ideal flap for Asian women? Ann Acad Med Singapore. 2010;39:680-6.
Chen CM, Halvorson EG, Disa JJ, McCarthy C, Hu QY, Pusic ALet al. Immediate postoperative complications in DIEP versus free/muscle-sparing TRAM flaps. Plast Reconstr Surg. 2007;120:477-82.
Hamdi M, Weller-Mithoff EM, Webster MH. Deep inferior epigastric perforator flap in breast reconstruction: experience with the first 50 flaps. Plast Reconstr Surg.1999;103:86-95.
Selber JC, Serletti JM. The deep inferior epigastric perforator flap: myth and reality. Plast Reconst Surg. 2010;125:50-8.
Enajat M, Rozen WM, Whitaker IS, Smit JM, Van Der Hulst RR, Acosta R. The deep inferior epigastricarteryperforator flap for autologous reconstruction of large partial mastectomy defects. Microsurgery. 2011;31:12-7.