Delayed breast reconstruction with bilateral deep inferior epigastric artery perforator flap combined with bilateral posterior medial thigh perforator flap: a case report
10.3760/cma.j.cn114453-20220128-00022
- VernacularTitle:双侧腹壁下动脉穿支皮瓣联合双侧大腿后内侧穿支皮瓣移植延期乳房再造1例
- Author:
Dajiang SONG
1
;
Zan LI
;
Yixin ZHANG
;
Bo ZHOU
;
Chunliu LYU
;
Yuanyuan TANG
;
Liang YI
;
Zhenhua LUO
Author Information
1. 湖南省肿瘤医院肿瘤整形外科，长沙 410008
- Keywords:
Mammaplasty;
Breast neoplasms;
Deep inferior epigastric artery perforator flap;
Posterior medial thigh perforator flap
- From:
Chinese Journal of Plastic Surgery
2023;39(4):384-389
- CountryChina
- Language:Chinese
-
Abstract:
In December 2021, a 37-year-old female patient was admitted to the Department of Oncology Plastic Surgery, Hunan Cancer Hospital, 32 months after bilateral mastectomy. After admission, it was planned to perform bilateral breast reconstruction with bilateral free deep inferior epigastric artery perforator (DIEP) flap and bilateral free posterior medial thigh perforator flap. The ipsilateral lower abdominal flap and posterior medial thigh flap were stacked to reconstruct the ipsilateral breast, and the vascular pedicle of profunda artery perforator was anastomosed with the distal end of internal mammary vessel, the deep inferior epigastric artery was anastomosed with the proximal end of the internal mammary vessel. During the operation, the blood supply of the flap was good, and the donor sites of the thigh and abdomen were closed directly. The postoperative course of the patient was stable, the flap survived well, and the donor site healed well. After 1 month follow-up, the appearance and function of the donor area of abdomen and thigh were good, no obvious complications were found, and the reconstructed breast shape was satisfactory. This case suggests that the combined transplantation of free DIEP flap and posterior medial thigh perforator flap is suitable for the reconstruction of large breast.
