Application of deep inferior epigastric artery perforator flap in bilateral breast reconstruction
10.3760/cma.j.issn.1009-4598.2019.09.009
- VernacularTitle: 游离腹壁下动脉穿支皮瓣在双侧乳房再造中的应用
- Author:
Dajiang SONG
1
;
Dequan LIU
2
;
Zan LI
1
;
Xiao ZHOU
1
;
Yixin ZHANG
3
;
Guang FENG
4
;
Xiaowei PENG
1
;
Bo ZHOU
1
;
Chunliu LYU
1
;
Peng WU
1
;
Yuanyuan TANG
1
Author Information
1. Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410008, China
2. Department of Breast Surgery, Yunnan Province Cancer Hospital and Third Affiliated Hospital of Kunming School of Medicine, Kunming 650000, China
3. Department of Plastic and Reconstructive Surgery, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China
4. Department of Wound Repair, the First Affiliated Hospital of People′s Liberation Army General Hospital, Beijing 100048, China
- Publication Type:Journal Article
- Keywords:
Breast cancer;
Deep inferior epigastric artery perforator flap;
Breast reconstruction
- From:
Chinese Journal of Plastic Surgery
2019;35(9):892-897
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application of the deep inferior epigastric artery perforator flap in bilateral breast reconstruction of patients with breast cancer.
Methods:Deep inferior epigastric artery perforator flap was applied for breast reconstruction in four cases of breast cancer patients received radical or modified radical surgery in Hunan Provincial Cancer Hospital. All patients are female, age ranged from 31 to 53 years old (36.2±5.9).
Results:The length of flap was (15.1±0.4) cm, the width of flap was (12.6±0.3) cm, the thickness of flap was (4.3±0.5) cm. The length of pedicle was (12.6±0.3) cm, the outer diameter of artery was (1.8±0.2) mm, the outer diameter of vein was (2.1±0.4) mm.The average weight of flaps was 235 g(ranged from 195 g to 335 g). In one case flap fat necrosis occurred and in other one donor site fat necrosis was noted. The two flaps both healed with dressing treatment and no other complications were found. The reconstructed breasts′shape, texture and elasticity were good and no flap contracture deformation happened. Only linear scar left in the donor sites, the function of abdomen did not affected. All 4 patients were followed up for 14 to 33 months (21.7 months on average) with satisfied result. No local recurrence happened.
Conclusions:Free deep inferior epigastric artery perforator flap is suitable to reconstruct bilateral breast for breast cancer patients.
