Refinements in free flap breast reconstruction: the free bilateral deep inferior epigastric perforator flap anastomosed to the internal mammary artery

1994 ◽  
Vol 47 (7) ◽  
pp. 495-501 ◽  
Author(s):  
Phillip N. Blondeel ◽  
Willy D. Boeckx
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Internal Mammary Artery ◽  
Perforator Flap ◽  
Internal Mammary ◽  
Deep Inferior Epigastric Perforator

scholarly journals The Retrograde Limb of the Internal Mammary Artery: An Alternative Inflow Option for Free Flap Breast Reconstruction

2020 ◽  
Vol 25 (4) ◽  
pp. 326-330
Author(s):  
Hyung Min Hahn ◽  
Bohwan Cha ◽  
Il Jae Lee
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Internal Mammary Artery ◽  
Ductal Carcinoma ◽  
Perforator Flap ◽  
Autologous Breast Reconstruction ◽  
Epigastric Artery ◽  
Internal Mammary ◽  
Deep Inferior Epigastric Artery ◽  
Arterial Insufficiency

Autologous breast reconstruction using a free flap is a popular option for breast reconstruction after mastectomy. The internal mammary system is the recipient of choice in autologous breast reconstruction. We present our experience utilizing the caudal limb of the internal mammary artery as the recipient artery. A 44-year-old female patient with invasive ductal carcinoma in her right breast received total mastectomy and reconstruction with the deep inferior epigastric artery perforator flap was planned. During the operation, arterial insufficiency occurred three times; therefore, we decided to change the plan and to perform anastomosis to the caudal limb of the internal mammary artery. Retrograde blood flow of the internal mammary artery was successfully achieved. Immediate postoperative and long-term outcomes of the flap were satisfactory. This inflow option may be useful in cases with arterial insufficiency on conventional anastomosis or in cases with bipedicled or stacked flaps for unilateral breast reconstruction.

Internal Mammary Artery Perforators for the Salvage of a Superficially Dominant Free Flap Breast Reconstruction

2010 ◽  
Vol 125 (6) ◽  
pp. 254e-255e
Author(s):  
Brian D. Cohen ◽  
Nicholas Vendemia ◽  
Jason A. Spector ◽  
Christine H. Rohde
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Internal Mammary Artery ◽  
Internal Mammary

scholarly journals Free Tissue Breast Reconstruction

2019 ◽  
Vol 33 (01) ◽  
pp. 059-066 ◽  
Author(s):  
Rami Dibbs ◽  
Jeff Trost ◽  
Valerie DeGregorio ◽  
Shayan Izaddoost
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Donor Site ◽  
Perforator Flap ◽  
Free Tissue Transfer ◽  
Donor Site Morbidity ◽  
Fat Grafting ◽  
Microsurgical Technique ◽  
Deep Inferior Epigastric Perforator ◽  
Aesthetic Breast

AbstractFree tissue transfer serves as a modern workhorse for breast reconstruction. Advancements in microsurgical technique have allowed for the development of free flap procedures that produce an aesthetic breast while minimizing donor site morbidity. Here, the authors review the use of different free flap procedures for breast reconstruction with a focus on the preferred and most commonly used flap, the deep inferior epigastric perforator flap. Each flap has its advantages and drawbacks, and certain patient risk factors increase postoperative complications. Other techniques of breast reconstruction including pedicled flaps and adjunctive fat grafting are also briefly discussed.

Sign in / Sign up

Export Citation Format

Share Document