Deep Inferior Epigastric Perforator Flap for Breast Reconstruction

TLDR

Breast reconstruction ideally uses fat and skin, yet most autogenous methods rely on myocutaneous flaps. The study aimed to demonstrate experimentally and clinically the feasibility of transferring skin and fat from the lower abdomen without muscle sacrifice for breast reconstruction. The technique employs a flap based on one to three perforators of the deep inferior epigastric vessels, transferring skin and fat without muscle sacrifice. Fifteen breasts were successfully reconstructed, offering the advantages of a free TRAM flap while reducing ventral hernia risk and muscle weakness.

Abstract

The ideal material for reconstruction of a breast is fat and skin. Most current methods of autogenous reconstruction use myocutaneous flaps. We investigated the feasibility of transfer of skin and fat from the lower abdomen without muscle sacrifice. The flap is based on one, two, or three perforators of the deep inferior epigastric vessels. The study will demonstrate both experimentally and clinically this original technique for breast reconstruction. Fifteen breasts have been successfully reconstructed with this technique. This technique has all of the advantages of the free transverse rectus abdominis myocutaneous flap with decreased possibility of ventral hernia or muscle weakness.