Special Topic∙Perforator Flap∙Practice and Skill Innovations
Application of deep inferior epigastric artery perforator flap in bilateral breast reconstruction
Dajiang Song, Dequan Liu, Zan Li, Xiao Zhou, Yixin Zhang, Guang Feng, Xiaowei Peng, Bo Zhou, Chunliu Lyu, Peng Wu, Yuanyuan Tang
Published 2019-09-25
Cite as Chin J Plast Surg, 2019, 35(9): 892-897. DOI: 10.3760/cma.j.issn.1009-4598.2019.09.009
Abstract
ObjectiveTo explore the clinical application of the deep inferior epigastric artery perforator flap in bilateral breast reconstruction of patients with breast cancer.
MethodsDeep 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).
ResultsThe 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.
ConclusionsFree deep inferior epigastric artery perforator flap is suitable to reconstruct bilateral breast for breast cancer patients.
Key words:
Breast cancer; Deep inferior epigastric artery perforator flap; Breast reconstruction
Contributor Information
Dajiang Song
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
Dequan Liu
Department of Breast Surgery, Yunnan Province Cancer Hospital and Third Affiliated Hospital of Kunming School of Medicine, Kunming 650000, China
Zan Li
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
Xiao Zhou
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
Yixin Zhang
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China
Guang Feng
Department of Wound Repair, the First Affiliated Hospital of People′s Liberation Army General Hospital, Beijing 100048, China
Xiaowei Peng
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
Bo Zhou
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
Chunliu Lyu
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
Peng Wu
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
Yuanyuan Tang
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
