[To harvest a SIEA flap instead of a DIEP flap in breast reconstruction: A technical note].
Prélever un SIEP à la place d’un DIEP en reconstruction mammaire : note technique.
Breast reconstruction
DIEP flap
Free flap
Lambeau de DIEP
Lambeau de SIEA
Lambeau libre
Reconstruction mammaire
SIEA flap
Journal
Annales de chirurgie plastique et esthetique
ISSN: 1768-319X
Titre abrégé: Ann Chir Plast Esthet
Pays: France
ID NLM: 8305839
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
15
05
2018
accepted:
23
08
2018
pubmed:
3
10
2018
medline:
30
11
2019
entrez:
2
10
2018
Statut:
ppublish
Résumé
Breast reconstruction by abdominal flap has evolved to ensure minimal donor-site morbidity with the description of Deep Inferior Epigastric artery Perforator flap (DIEP flap). Being of the same thickness and the same surface, the Superficial Inferior Epigastric Artery flap (SIEA flap) does not require, for it harvesting, to open the abdominal fascia or to dissect through the muscles minimizing again donor-site sequelae. However, it is little used because of the variability of its vascularization and a higher failure rate than the DIEP in the literature. We believe that it is reasonable, in some cases, to harvest a SIEA flap instead of DIEP flap in mammary reconstruction. We present a technical note explaining our operative strategy for reliably taking a SIEA when the caliber of the vessels allows.
Identifiants
pubmed: 30269883
pii: S0294-1260(18)30149-3
doi: 10.1016/j.anplas.2018.08.007
pii:
doi:
Types de publication
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
199-203Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2018 Elsevier Masson SAS. All rights reserved.