Pre-expanded Deep Inferior Epigastric Perforator Flap

Monsivais, Sharon; Webster, Nicholas; Wong, Stacy; Saint‐Cyr, Michel

doi:10.1016/j.cps.2016.09.002

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…In these articles, the authors proposed that the long and robust vascular pedicle of the DIEP flap is ideal for its use in islanded, local advancement or ‘propeller’ rotation to adjacent abdominal wall defects. These cases used the DIEP flap for oncological reconstruction except a case by Monsivais et al ( 123 ), where the flap was pre-expanded for burn resurfacing.…”

Section: Resultsmentioning

confidence: 99%

“…We included four articles (111,(122)(123)(124) on abdominal reconstruction with the DIEP flap where it was used as a pedicled flap. In these articles, the authors proposed that the long and robust vascular pedicle of the DIEP flap is ideal for its use in islanded, local advancement or 'propeller' rotation to adjacent abdominal wall defects.…”

Section: Abdominal Reconstructionmentioning

confidence: 99%

See 1 more Smart Citation

The deep inferior epigastric artery perforator flap: a narrative review on its various uses in non-breast reconstruction

Guinier¹,

Clermont-Tonnerre²,

Tay³

et al. 2023

Ann Transl Med

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Background and Objective: The deep inferior epigastric artery perforator (DIEP) flap was first described by Koshima and Soeda in 1989 and is now well-established as the gold standard in breast reconstruction. Lately, this issue has been explored in the context of head and neck reconstruction, highlighting growing interest in the use of the DIEP flap beyond breast reconstruction, but its usage in other anatomical regions appears elusive. Nevertheless, DIEP flap reconstruction may be a viable choice for complex, three-dimensional head and neck deformities while upholding the criteria of minimal donor site morbidity, according to a recent review. To determine whether the DIEP flap may be used successfully in other types of reconstruction, we conducted a review on the use, applications, and outcomes of the DIEP flap in non-breast reconstruction. This is, as far as we are aware, the first comprehensive analysis of all applications of the DIEP flap other than for breast reconstruction.Methods: A literature review was performed using PubMed to include all relevant articles in English or French published up to February 2022. Keywords included "DIEP flap" and "deep inferior epigastric perforator flap". Key Contents and Findings: A total of 1,299 articles were identified with 105 on the use of the DIEP flap in non-breast reconstruction. This suggests increasing recognition of the DIEP flap as a feasible option for reconstruction of most anatomical regions, especially in lower limb and head and neck reconstruction, followed by gynecological reconstruction. The DIEP flap was also utilized in the reconstruction of upper limb, thigh and hip defects. Less commonly, it has been used for penoscrotal, groin, sternal, buttock and abdomen reconstruction. Conclusions:The scientific body of evidence showed the robustness and versatility of the DIEP flap in non-breast reconstruction, with its relative pros and cons at different anatomical regions.

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Section: Resultsmentioning

confidence: 99%

Section: Abdominal Reconstructionmentioning

confidence: 99%

The deep inferior epigastric artery perforator flap: a narrative review on its various uses in non-breast reconstruction

Guinier¹,

Clermont-Tonnerre²,

Tay³

et al. 2023

Ann Transl Med

View full text Add to dashboard Cite

show abstract

“…Newer techniques are continuing to be developed to utilize this flap for breast reconstruction with refinements that aim to cater to the needs of each specific patient. These include better understanding and management strategies of venous congestion of the DIEP flap, stacking the flap with other flaps such as the profunda artery perforator flap, hydrodissection of the flap, placement of an implant under the DIEP flap, differentially splitting the DIEP flap to simultaneously augment the contralateral side, pre‐expansion of the DIEP, and fat grafting the DIEP flap before transfer …”

Section: Discussionmentioning

confidence: 99%

Nipple‐sparing mastectomy and breast reconstruction with a deep inferior epigastric perforator flap using thoracodorsal recipient vessels and a low lateral incision

Lin

Pappalardo

et al. 2018

Journal of Surgical Oncology

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“…1 Attempts to increase the utility of the delay phenomenon have been explored without widespread adoption. [6][7][8][9] External negative pressure delay (ENPD) has the potential to provide similar benefits to surgical delay while mitigating these negative factors. In this non-invasive technique, a negative pressure dressing is placed over the donor site skin before surgery to induce a delay phenomenon.…”

mentioning

confidence: 99%

Early Experience with External Negative Pressure Delay in Free Anterolateral Thigh Perforator Flap Reconstruction

Brown

Ghareeb

2021

Plastic and Reconstructive Surgery - Global Open

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Summary: Negative pressure therapy has been utilized in the treatment of open and closed wounds to increase blood flow and improve wound healing. More recently, external negative pressure has been shown to induce a noninvasive delay phenomenon in animal models by increasing vessel size and density within a planned flap, leading to improvement in flap survival. Although successful in animal models, this new method of delay has not been demonstrated in clinical practice. We present our initial experience with preoperative external negative pressure delay of free anterolateral thigh flaps in upper extremity reconstruction to detail the technique and safety profile of this innovative new technique. External negative pressure delay has the potential to provide results similar to those of traditional surgical delay, while being cost effective, safer, and more convenient for patients. More research is needed to investigate the clinical benefit and cost effectiveness of external negative pressure delay.

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Pre-expanded Deep Inferior Epigastric Perforator Flap

Cited by 6 publications

References 28 publications

The deep inferior epigastric artery perforator flap: a narrative review on its various uses in non-breast reconstruction

The deep inferior epigastric artery perforator flap: a narrative review on its various uses in non-breast reconstruction

Nipple‐sparing mastectomy and breast reconstruction with a deep inferior epigastric perforator flap using thoracodorsal recipient vessels and a low lateral incision

Early Experience with External Negative Pressure Delay in Free Anterolateral Thigh Perforator Flap Reconstruction

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