The Deep Inferior Epigastric Perforator Learning Curve in the Current Era

Abstract

The learning curve associated with the DIEP is complex and likely relates to competency gained in both technical and decision-making aspects of breast reconstruction. This series has demonstrated that with adequate training and an algorithmic approach to DIEP breast reconstruction, eliminating the early learning curve and improving early outcomes are possible.

Invited Response on: Breast Reconstruction with SIEA Flaps: An Alternative in Selected Cases

“…Given the well-known increased risk of overall complications and flap loss in obese patients, there was no relationship between flap necrosis and obesity in our study cohort [8][9][10]. We agree with the authors and have noted that an inverse correlation of the superficial and the deep system to the perfusion of the lower abdomen has been described by other authors before [6].…”

A Method to Reproduce Symmetry in Midfacial Reconstruction: A Report of 19 Cases

“…The anchoring suture for fixation of the dermis to deep structures is a common practice in many reconstructive procedures. 9 – 14 In breast reconstruction, it is a crucial step to reproduce submammary folds by holding the inserted flap or implant to gain a favorable aesthetic result. 9 – 11 For buried penis correction, anchoring the dermis in the penis root to the deep ligament plays an essential role in maintaining the static length of the penis.…”

Cost analysis of postmastectomy reconstruction: A comparison of two staged implant reconstruction using tissue expander and acellular dermal matrix with abdominal‐based perforator free flaps

“…These outcomes were chosen as they were deemed to be the most clinically relevant status of these two operations. In addition, they were also the most commonly reported outcomes for TE/I + ADM and DIEP in literature . A literature review of TE/I + ADM and DIEP complications was conducted to determine the pooled incidence of the aforementioned surgical outcomes.…”