Inset techniques for the DIEP flap – what improves aesthetic outcomes?

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Autoři: M. Kadhum ¹; C. Symonette ²; M. U. Javed ¹
Působiště autorů: Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom ¹; London Health Sciences Centre, London, Ontario, Canada ²
Vyšlo v časopise: ACTA CHIRURGIAE PLASTICAE, 66, 1, 2024, pp. 10-15
doi: https://doi.org/10.48095/ccachp202410

Zdroje

1. Gravvanis A., Samouris G., Galani E., et al. Dual plane diep flap inset: optimizing esthetic outcome in delayed autologous breast reconstruction. Microsurgery. 2015, 35 (6): 432–440.

2. Gravvanis A., Kakagia D., Samouris G., et al. Tips and outcomes of a new DIEP flap inset in delayed breast reconstruction: the dual-plane technique. J Reconstr Microsurg. 2016, 32 (5): 366–370.

3. Razzano S., Marongiu F., Wade R., et al. Optimizing DIEP flap insetting for immediate unilateral breast reconstruction: a prospective cohort study of patient-reported aesthetic outcomes. Plast Reconstr Surg. 2019, 143 (2): 261e–270e.

4. Atzeni M., Salzillo R., Haywood RM., et al. Unilateral immediate deep inferior epigastric artery perforator flap breast reconstruction following skin sparing mastectomy: a comparative study on revision surgeries to improve breast symmetry. Microsurgery. 2022, 42 (8): 766–774.

5. Francis EC., Dimovska EOF., Chou HH., et al. Nipple-sparing mastectomy with immediate breast reconstruction with a deep inferior epigastric perforator flap without skin paddle using delayed primary retention suture. J Surg Oncol. 2022, 125 (8): 1202–1210.

6. Dung PTV., Sơn TT., Dung VT., et al. Techniques of inserting deep inferior epigastric perforator flap obliquely in immediate breast reconstruction after total mastectomy. JPRAS Open. 2023, 36: 1–7.

7. Enajat M., Smit JM., Rozen WM., et al. Aesthetic refinements and reoperative procedures fol- lowing 370 consecutive DIEP and SIEA flap breast reconstructions: important considerations for patient consent. Aesthetic Plast Surg. 2010, 34 (3): 306–312.

8. Chae MP., Rozen WM., Patel NG., et al. Enhancing breast projection in autologous reconstruction using the St Andrew’s coning technique and 3D volumetric analysis. Gland Surg. 2017, 6 (6): 706–714.

9. Odobescu A., Keith JN. Preshaping DIEP flaps: simplifying and optimizing breast reconstruction aesthetics. Plast Reconstr Surg. 2021, 147 (5): 1059–1061.

Muhammad Umair Javed, MBBS, MSc Res, FRCS Plast

Consultant Plastic Surgeon

Welsh Centre for Burns and Plastic Surgery

Morriston Hospital

Swansea, SA6 6NL

United Kingdom

e-mail: Umair.dr@gmail.com

Submitted: 2. 10. 2023

Accepted: 28. 2. 2024