Our Preliminary Experience with a New Method of DIEAP Flap
Dissection

J 2016

Our Preliminary Experience with a New Method of DIEAP Flap Dissection

HÝŽA, Petr, Jiří VESELÝ, Libor STREIT, Daniel SCHWARZ, Tomáš KUBEK et. al.

Basic information

Original name

Our Preliminary Experience with a New Method of DIEAP Flap Dissection

Authors

HÝŽA, Petr (203 Czech Republic, guarantor, belonging to the institution), Jiří VESELÝ (203 Czech Republic, belonging to the institution), Libor STREIT (203 Czech Republic, belonging to the institution), Daniel SCHWARZ (203 Czech Republic, belonging to the institution), Tomáš KUBEK (203 Czech Republic, belonging to the institution), F. CATALANO (380 Italy) and G.A.G. LOMBARDO (380 Italy)

Edition

Acta chirurgiae plasticae, Praha, Česká lékařská společnost J.E.Purkyně, 2016, 0001-5423

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/16:00093384

Organization unit

Faculty of Medicine

Keywords in English

DIEP flap; DIEP dissection; perforator dissection; perforator flap; autologous breast reconstruction

Abstract

V originále

Background: The abdominal tissue is an ideal source for autologous breast reconstruction. We propose a new approach for intramuscular dissection of a DIEP flap in this paper. Methods: A total of 84 women underwent breast reconstruction after mastectomy. From this group, 49 patients were treated with traditional DIEP flap of which 21 had unilateral procedure and 28 had bilateral procedure. This new type of dissection was performed in 35 women, with unilateral approach in 14 cases and bilateral approach in 21 cases. Results: The statistical differences are not significant in the two groups with regards to complications (p > 0.1). Mean operative time in this new approach was 3 hours and 10 minutes per flap. Mean operative time in the traditional dissection of DIEP was 3 hours and 41 minutes per flap. The operative time of the new approach is significantly shorter than the dissection of the traditional DIEP flap (p < 0.01). Conclusion: The approach to DIEP flap dissection proposed by the authors is a new concept in autologous breast reconstruction. In this type of dissection no fascia is resected and it is more reliable than a traditional DIEP flap for the ease of dissection and for the presence of a small protective cuff of muscle around the vessel with a lower risk of perforator injury. It is a reproducible option of dissection, useful also in less experienced hands and it is a time reducing technique compared with the traditional DIEP flap.

Citovat

HÝŽA, Petr, Jiří VESELÝ, Libor STREIT, Daniel SCHWARZ, Tomáš KUBEK, F. CATALANO and G.A.G. LOMBARDO. Our Preliminary Experience with a New Method of DIEAP Flap Dissection. Acta chirurgiae plasticae. Praha: Česká lékařská společnost J.E.Purkyně, 2016, vol. 58, No 2, p. 64-69. ISSN 0001-5423.

@article{1371272,
   author = {Hýža, Petr and Veselý, Jiří and Streit, Libor and Schwarz, Daniel and Kubek, Tomáš and Catalano, F. and Lombardo, G.A.G.},
   article_location = {Praha},
   article_number = {2},
   keywords = {DIEP flap; DIEP dissection; perforator dissection; perforator flap; autologous breast reconstruction},
   language = {eng},
   issn = {0001-5423},
   journal = {Acta chirurgiae plasticae},
   title = {Our Preliminary Experience with a New Method of DIEAP Flap Dissection},
   volume = {58},
   year = {2016}
}

TY  - JOUR
ID  - 1371272
AU  - Hýža, Petr - Veselý, Jiří - Streit, Libor - Schwarz, Daniel - Kubek, Tomáš - Catalano, F. - Lombardo, G.A.G.
PY  - 2016
TI  - Our Preliminary Experience with a New Method of DIEAP Flap Dissection
JF  - Acta chirurgiae plasticae
VL  - 58
IS  - 2
SP  - 64-69
EP  - 64-69
PB  - Česká lékařská společnost J.E.Purkyně
SN  - 00015423
KW  - DIEP flap
KW  - DIEP dissection
KW  - perforator dissection
KW  - perforator flap
KW  - autologous breast reconstruction
N2  - Background: The abdominal tissue is an ideal source for autologous breast reconstruction. We propose a new approach for intramuscular dissection of a DIEP flap in this paper. Methods: A total of 84 women underwent breast reconstruction after mastectomy. From this group, 49 patients were treated with traditional DIEP flap of which 21 had unilateral procedure and 28 had bilateral procedure. This new type of dissection was performed in 35 women, with unilateral approach in 14 cases and bilateral approach in 21 cases. Results: The statistical differences are not significant in the two groups with regards to complications (p > 0.1). Mean operative time in this new approach was 3 hours and 10 minutes per flap. Mean operative time in the traditional dissection of DIEP was 3 hours and 41 minutes per flap. The operative time of the new approach is significantly shorter than the dissection of the traditional DIEP flap (p < 0.01). Conclusion: The approach to DIEP flap dissection proposed by the authors is a new concept in autologous breast reconstruction. In this type of dissection no fascia is resected and it is more reliable than a traditional DIEP flap for the ease of dissection and for the presence of a small protective cuff of muscle around the vessel with a lower risk of perforator injury. It is a reproducible option of dissection, useful also in less experienced hands and it is a time reducing technique compared with the traditional DIEP flap.
ER  -

HÝŽA, Petr, Jiří VESELÝ, Libor STREIT, Daniel SCHWARZ, Tomáš KUBEK, F. CATALANO and G.A.G. LOMBARDO. Our Preliminary Experience with a New Method of DIEAP Flap Dissection. \textit{Acta chirurgiae plasticae}. Praha: Česká lékařská společnost J.E.Purkyně, 2016, vol.~58, No~2, p.~64-69. ISSN~0001-5423.

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