The deep inferior epigastric perforator flap: Myth and reality

Plastic and Reconstructive Surgery

Volumn 125, Issue 1, 2010, Pages 50-58

  Selber, Jesse C ^a,b   Serletti, Joseph M ^a,b  

^a UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BREAST RECONSTRUCTION; FEMALE; HUMAN; METHODOLOGY; MICROSURGERY; PLASTIC SURGERY; VASCULARIZATION;

FEMALE; HUMANS; MAMMAPLASTY; MICROSURGERY; SURGICAL FLAPS;

EID: 75149173138     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/PRS.0b013e3181c49770     Document Type: Review

References (27)

1. Koshima I, Soeda S. Inferior epigastric artery skin flap without rectus abdominis muscle. Br J Plast Surg. 1989;42:645-648. (Pubitemid 20140839)
2. Blondeel PN, Boeckx WD. Refinements in free flap breast reconstruction: The free bilateral deep inferior epigastric perforator anastamosed to the internal mammary artery. Br J Plast Surg. 1994;47:495-501.
3. Allen RJ, Treece P. Deep inferior epigastric perforator flap for breast reconstruction. Ann Plast Surg. 1994;32:32-38.
4. Holm C, Mayr M, Hofter E, Ninkovic M. Perfusion zones of the DIEP flap revisited: A clinical study. Plast Reconstr Surg. 2006;117:38-43.
5. Rozen WM, Ashton MW, Pan WR, Taylor GI. Raising perforator flaps for breast reconstruction: The intramuscular anatomy of the deep inferior epigastric artery. Plast Reconstr Surg. 2007;120:1443-1449.
6. Nahabedian MY, Momen B, Galdino G, et al. Breast reconstruction with free TRAM or DIEP flap: Patient selection, choice of flap, and outcome. Plast Reconstr Surg. 2002;10:466.
7. Bajaj AK, Chevray PM, Chang DW. Comparison of donor-site complications and functional outcomes in free muscle-sparingTRAMflap and free DIEP flap breast reconstruction. Plast Reconstr Surg. 2006;117:737-746.
8. Nahabedian MY, Tsangaris T, Momen B. Breast reconstruction with the DIEP flap or the muscle-sparing (MS-2) free TRAM flap: Is there a difference? Plast Reconstr Surg. 2005; 115:436-444.
9. Kroll SS, Marchi M. Comparison of strategies for preventing abdominal wall weakness after TRAM flap breast reconstruction. Plast Reconstr Surg. 1992;89:1045.
10. Nahabedian MY, Dooley W, Navin S, Manson PN. Contour abnormalities of the abdomen after breast reconstruction with abdominal flaps: The role of muscle preservation. Plast Reconstr Surg. 2002;109:91-101.
11. Blondeel PN, Vanderstraeten GG, Monstrey S, et al. The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction. Br J Plast Surg. 1997;50:322.
12. Futter CM, Webster MHC, Hagan S, et al. A retrospective comparison of abdominal muscle strength following breast reconstruction with a free TRAM or DIEP flap. Br J Plast Surg. 2000;53:578.
13. Nahabedian MY, Dooley WSN, et al. Contour abdonormalities of the abdomen after breast reconstruction with abdominal flaps: The role of muscle preservation. Plast Reconstr Surg. 2002;109:81.
14. Nahabedian MY, Manson PN. Contour abdnomalities of the abdomen after transverse rectus abdominis muscle flap breast reconstruction: A multifactorial analysis. Plast Reconstr Surg. 2002;109:81.
15. Futter CM, Weiler-Mithoff E, Hagan S, et al. Do pre-operative abdominal exercises prevent post-operative donor site complications for women undergoing DIEP flap breast reconstruction? A two-center, prospective randomized controlled trial. Br J Plast Surg. 2003;56:674.
16. Bottero L, Lefaucheur JP, Adhul S, et al. Electromyographic assesment of rectus abdominis muscle function after deep inferior epigastric perforator flap surgery. Plast Reconstr Surg. 2004;113:156.
17. Blondeel PH. Contour abnormalities of the abdomen after transverse rectus abdominis muscle flap breast reconstruction: A multifactorial analysis (discussion). Plast Reconstr Surg. 2004;113:156.
18. Man L-X, Selber JC, Serletti JM. Abdominal wall following free TRAM or DIEP flap reconstruction: A meta-analysis and critical review. Plast Reconstr Surg. 2009;124:752-764.
19. Selber J, Hsu V, Bristol M, Sonnad S, Goldstein J, Serletti J. Comparing the impact of the MS fTRAM, DIEP and SIEA on the abdominal wall: A prospective study. Presented at the American Association of Plastic Surgeons meeting, Boston, 2008.
20. Chen CM, Halvorson EG, Disa JJ, et al Immediate post operative complications in the DIEP versus free/musclesparing TRAM flaps. Plast Reconstr Surg. 2007;120:1477-1482.
21. Blondeel PN. One hundred free DIEP flap breast reconstructions: A personal experience. Br J Plast Surg. 1999;52: 104.
22. Blondeel PN, Arnstein M, Verstraete K, et al. Venous congestion and blood flow in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps. Plast Reconstr Surg. 2000;106:1295.
23. Blondeel PN, Arnstein M, Verstraete K, et al. Venous congestion and blood flow in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps. Plast Reconstr Surg. 2000;106:1295-1299.
24. Chow SP, Chen DZ, Gu YD. The significance of venous drainage in free flap transfer. Plast Reconstr Surg. 1998;91:713.
25. Selber J, Goldstein J, Hill L, Hsu V, Bristol M, Sonnad S, Serletti J. Comparing the functional impact of the MS fTRAM, DIEP and SIEA on the abdominal wall. Presented at the 24th Annual Meeting of the Northeastern Society of Plastic Surgeons, Southampton, Bermuda, October 3-6, 2007.
26. Wechselberger G, Schoeller T, Bauer T, Ninkovic M, et al. Venous superdrainage in deep inferior epigastric perforator flap breast reconstruction. Plast Reconstr Surg. 2001;108:162-166.
27. Rozen WM, Palmer KP, Suami H, et al. The DIEA branching pattern and its relationship to perforators: The importance of preoperative computed tomographic angiography for DIEA perforator flaps. Plast Reconstr Surg. 2008; 121:367-373.