Free deep inferior epigastric artery perforator flap techniques for the immediate post modified radial mastectomy reconstruction
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Abstract:
Objective To discuss the feasibility and method of immediate breast reconstruction right after modified radical mastectomy in early breast carcinoma patients.Methods Deep inferior epigastric artery perforaton flaps were immediately applied on patients to reconstruct the breast after the skin-sparing mastectomy.The breasts were shaped after the deep inferior epigastric artery and vein were anastomosed to the thoraeodorsal artery and vein.Results In 10 cases of breast reconstruction by DIEP flaps since 2005,there were completely survival in 8 flaps,distal skin necrosis in 1 flap,adiponecrosis in 1 flap.With the follow-up of 9-28 months,the reconstructed breasts were well-shaped and there were no abdominal complication in dnor sites.Ninety percent patients were satisfied with the results from the good to the best level.Conclusion Most patients were satisfied with the results of mastectomy reconstruction.
Key words:
Breast neoplasms; Mammaplasty; Surgical flapsKeywords:
DIEP flap
Rectus abdominis muscle
Fat necrosis
Inferior epigastric artery