Research progress of venous congestion after deep inferior epigastric perforator flap breast reconstruction
10.3760/cma.j.issn.1009-4598.2018.12.019
- VernacularTitle: 腹壁下动脉穿支皮瓣乳房再造术后皮瓣淤血的研究进展
- Author:
Shangshan LI
1
;
Jie LUAN
Author Information
1. Plastic Surgery Hospital Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, China
- Publication Type:Review
- Keywords:
Mammaplasty;
Inferior epigastric artery, skin flap;
Vein, congestion
- From:
Chinese Journal of Plastic Surgery
2018;34(12):1077-1080
- CountryChina
- Language:Chinese
-
Abstract:
Breast reconstruction with deep inferior epigastric perforator flap (DIEP flap) is an optimal technique for massive tissue defect after breast cancer surgeries. Venous congestion is one of the main complications and the probable reasons include thrombus, lack of ramus communicans across the midline or between deep and superficial system, improper choice of anastomotic vein, et al. Clinical examination is the main method, and other auxiliary tests can also be used. Preoperative vascular evaluation is of great importance. The venous superdrainage is current preventive measure for congestion.