Hauck T, Horch RE, Schmitz M, Arkudas A (2018)
Publication Type: Journal article
Publication year: 2018
Book Volume: 27
Pages Range: 513-513
Journal Issue: 3
DOI: 10.1016/j.suronc.2018.06.006
INTRODUCTION: Breast reconstruction is an important element in the successful therapy of breast cancer [1]. Thereby, autologous microvascular breast reconstruction has been shown to be a reliable technique. The use of a deep inferior epigastric perforator (DIEP) flap or a muscle-sparing (MS) free transverse rectus abdominis musculocutaneous (TRAM) flap is recognized in many centres as gold standard for reconstructive options [2-4]. Based on our experiences with 137 patients over a 5-year period we want to highlight the technical aspects of the free microsurgical autologous breast reconstruction using a DIEP flap. PATIENTS AND METHODS: Between 01/2013 and 12/2017 we treated 137 patients (age 32-78 years, mean age 52 years) after mastectomy with autologous microsurgical free flap breast reconstruction. A DIEP flap was used for breast reconstruction in 33 patients. In 104 cases, we performed a muscle sparing TRAM flap. In this video we demonstrate the typical sequence of operative steps of a DIEP flap in a 32 year old patient after mastectomy due to an invasive ductal breast carcinoma. RESULTS: The rate of total flap loss in our department was 2.2% including all patients. In less than 1%, partial flap necrosis could be observed. 61% of the patients had undergone previous irradiation. Within the small number of flap loss, we could not observe a trend towards a correlation between flap loss and previous irradiation. CONCLUSION: Autologous breast reconstruction using a DIEP or MS-TRAM flap provides a surgically safe technique including a low incidence of flap loss in specialized centres.
APA:
Hauck, T., Horch, R.E., Schmitz, M., & Arkudas, A. (2018). Secondary breast reconstruction after mastectomy using the DIEP flap. Surgical Oncology-Oxford, 27(3), 513-513. https://doi.org/10.1016/j.suronc.2018.06.006
MLA:
Hauck, Theresa, et al. "Secondary breast reconstruction after mastectomy using the DIEP flap." Surgical Oncology-Oxford 27.3 (2018): 513-513.
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