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Various Applications of Deep Inferior Epigastric Artery Perforator Free Flap  

Ahn, Hee Chang (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
Yang, Eun Zin (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
Kim, Chang Yeon (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
Lee, Jang Hyun (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
Publication Information
Archives of Plastic Surgery / v.36, no.6, 2009 , pp. 707-713 More about this Journal
Abstract
Purpose: The deep inferior epigastric perforator(DIEP) free flap is well known as an ideal donor site for the breast reconstruction. The flap can provide huge amount of fat tissue for breast and buttock contour, while it is also very useful as a thin skin flap to reconstruct the upper and lower extremities. We used a DIEP free flap in various site reconstructions besides the breast and would like to reinsure the usefulness of this flap. Methods: Twenty nine consecutive patients who underwent DIEP free flap surgery from 2001 January to 2007 December were reviewed. The case constituted seven male patients and twenty two female patients. There were sixteen breast reconstructions, five face reconstructions, five lower extremity reconstructions, two upper extremity reconstructions, and one buttock contour reconstruction. All clinical data were based on the patient's medical records. Results: All DIEP free flaps survived without major complications. There was no hematoma, seroma, or partial necrosis. The donor sites were closed primarily with linear scar on lower abdomen. The thinnest part of flap was 0.7 cm in thickness. The size of the largest flap was $38{\times}13cm$. The flaps were used in various types of skin and adipose tissue, adipose tissue only, and skin only according to the requirement of recipient site. Conclusion: The DIEP free flap was enough to provide a thin and huge flap for both breast and extremity reconstructions. It was able to provide versatile designs with sufficient adipose tissue. So we use it for 3 - dimentional face and buttock contour reconstructions. The DIEP free flap is a valuable reconstructive donor for face, upper and lower extremity in addition to breast without compromising the integrity of abdominal wall.
Keywords
DIEA Perforator Free Flap;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Ryu MH, Kim HH, Jeong JH: Immediate breast reconstruction with deep inferior epigastric perforator free flap. J Korean Soc Plast Reconstr Surg 34: 229, 2007
2 Zhang B, Li DZ, Xu ZG, Tang PZ: Deep inferior epigastric artery perforator free flaps in head and neck reconstruction. Oral Oncol 45: 116, 2009   DOI   ScienceOn
3 Futter CM, Webster MH, Hagen S, Mitchell SL: A retrospective comparison of abdominal muscle strength following breast reconstruction with a free TRAM or DIEP flap. Br J Plast Surg 53: 578, 2000   DOI   ScienceOn
4 Kim CY, Oh JK, Hwang WJ, Kim JT, Ahn HC: Topography of deep inferior epigastric perforator flap. J Korean Soc Micro 11: 141, 2002   과학기술학회마을   ScienceOn
5 Feller AM, Galla TJ: The deep inferior epigastric artery perforator flap. Clin Plast Surg 25: 197, 1998   PUBMED   ScienceOn
6 Kostakoglu N, Kecik A: Deep inferior epigastric artery (DIEA) skin flap: clinical experience of 15 cases. Br J Plast Surg 51: 25, 1998   DOI   PUBMED
7 Reath DB, Taylor JW: Free rectus abdominis muscle flap: advantages in lower extremity reconstruction, South Med J 82: 1143, 1989   DOI   PUBMED   ScienceOn
8 Boyd JB, Taylor GI, Corlett R: The vascular territories of the superior epigastric and the deep inferior epigastric sustems. Plast Reconstr Surg 73: 1, 1984   DOI   PUBMED   ScienceOn
9 Rozen WM, Murray AC, Ashton MW, Bloom RJ, Stella DL, Phillips TJ, Taylor GI: The cutaneous course of deep inferior epigastric perforators: implications for flap thinning. J Plast Reconstr Aesthet Surg 62: 986, 2008
10 Koshima I, Soeda S: Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg 42: 645, 1989   DOI   ScienceOn