Rare falp dysvascularization salvaged by superficial inferior epigastric vessels supercharge/drainage: a case of deep inferior epigastric perforator flap breast reconstruction
10.3760/cma.j.cn114453-20230209-00029
- VernacularTitle:利用腹壁浅动静脉超灌注回流挽救腹壁下动脉穿支皮瓣罕见血运不良的乳房再造1例
- Author:
Xiaomu MA
1
;
Boyang XU
;
Wenyue LIU
;
Shangshan LI
;
Zhaohan CHEN
;
Xingyi DU
;
Chunjun LIU
Author Information
1. 中国医学科学院北京协和医学院整形外科医院乳腺综合整形科，北京 100144
- Keywords:
Surgical flaps;
Deep inferior epigastric perforator flap;
Breast reconstruction;
Superficial inferior epigastric vein;
Superficial inferior epigastric art
- From:
Chinese Journal of Plastic Surgery
2023;39(4):390-394
- CountryChina
- Language:Chinese
-
Abstract:
In deep inferior epigastric perforator (DIEP) flap breast reconstruction, diffuse venous congestion caused by non-pedicle causes, such as lack of effective communication between deep and superficial venous systems, is very rare. In this paper, a case of young woman who underwent DIEP breast reconstruction after breast cancer mastectomy was reported. Imaging findings showed the absence of bilateral dominant perforators and the lack of communication between the deep and superficial venous system. During operation, the superficial inferior epigastric vessels were dissected in advance. Indocyanine green angiography showed arterial perfusion insufficiency and venous congestion.The flap was successfully salvaged by supercharging/draining with superficial inferior epigastric vessels, preserving the abdominal function of the young patient to the greatest extent.
