Clinical effects of transplantation of turbocharged bipedicle deep inferior epigastric perforator flap in breast reconstruction

Song Dajiang; Li Zan; Zhang Yixin; Zhou Bo; Lyu Chunliu; Tang Yuanyuan; Yi Liang; Luo Zhenhua; Wang Zhiyuan; Hua Zhanqiang; Feng Guang

doi:10.3760/cma.j.cn501120-20200824-00390

Volume 37 Issue 12

Dec. 2021

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2021 > 37(12): 1143-1148

Song DJ,Li Z,Zhang YX,et al.Clinical effects of transplantation of turbocharged bipedicle deep inferior epigastric perforator flap in breast reconstruction[J].Chin J Burns,2021,37(12):1143-1148.DOI: 10.3760/cma.j.cn501120-20200824-00390.

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Clinical effects of transplantation of turbocharged bipedicle deep inferior epigastric perforator flap in breast reconstruction

doi: 10.3760/cma.j.cn501120-20200824-00390

1.
Department of Plastic Surgery, Hunan Cancer Hospital, Changsha 410008, China
2.
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
3.
Ultrasonic Diagnosis Center, Hunan Cancer Hospital, Changsha 410008, China
4.
Department of Plastic and Reconstructive Surgery, Shanghai Electric Power Hospital, Shanghai 200050, China
5.
Rehabilitation and Reconstruction Center, Beijing Fucheng Hospital, Beijing 100048, China

Funds:

Hunan Provincial Health and Family Planning Commission Project B2019092, 20201650, 20200829

Science and Health Planning Project of Hunan Provincial Natural Science Foundation 2018JJ6028, S2018SFYLJS0174

Hunan Technological Innovation Guidance Plan Project 2018SK50906

Basic Research Project of Science and Technology Plan of Changsha City kq1901074, kq1901077

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Corresponding author: Li Zan, Email: zzanli@163.com
Received Date: 2020-08-24

Abstract

Abstract

Objective To explore the clinical effects of transplantation of turbocharged bipedicle deep inferior epigastric perforator (DIEP) flap in breast reconstruction. Methods A retrospective observational study was used. From December 2008 to December 2016, 24 patients who met the inclusion criteria were treated in the Department of Plastic Surgery of Hunan Cancer Hospital, all patients were female, aged 28-51 (36.5±1.6) years. All cases received turbocharged bipedicle DIEP flap for two-staged breast reconstruction. According to the patterns of turbocharged vessels anastomosis, the turbocharged bipedicle DIEP flaps with length of (27.5±0.3) cm and width of (12.8±1.4) cm, were divided into three types: distal end of pedicle anastomosis type, main branch of pedicle anastomosis type, and muscular branch of pedicle anastomosis type. After complete hemostasis in the donor region, the anterior sheath was repaired with intermittent suture, and umbilical reconstruction was completed. Two negative pressure drainage tubes were indwelled, and subcutaneous tissue and skin were sutured layer by layer. The specific ways of vascular anastomosis of the flap pedicle with the internal thoracic vessels of recipient site included anastomosing the proximal end of one artery and one vein, anastomosing the proximal and distal end of one artery and one vein, and anastomosing the proximal end of one artery and two veins. Postoperatively, the survival and blood supply of flaps were observed. The patients were followed up to observe the reconstructed breast shape satisfaction, donor site complications, abdominal wall function, and scar hyperplasia. Results All turbocharged bipedicle DIEP flaps for two-staged breast reconstruction survived well, with good blood supply. During follow-up for 14 to 56 (20±6) months, the shape of reconstructed breasts was satisfied. Only linear scar was left in the donor sites of abdomen with no complications, and the function of abdominal wall was not affected. Conclusions For patients with clear indications, transplantation of free turbocharged bipedicle DIEP flap is a safe, reliable, and satisfactory choice for breast reconstruction with autologous tissue.
- Surgical flaps,
- Mammaplasty,
- Skin,
- Turbocharge,
- Deep inferior epigastric perforator flap

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References

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Clinical effects of transplantation of turbocharged bipedicle deep inferior epigastric perforator flap in breast reconstruction

doi: 10.3760/cma.j.cn501120-20200824-00390