Stanec Sanda, Zic Rado, Budi Srećko, Stanec Zdenko
Department of Plastic Surgery, Clinical Hospital Dubrava, Avenija Gojka Suska 6, 10000 Zagreb, Croatia.
Ann Plast Surg. 2003 Feb;50(2):120-5. doi: 10.1097/01.SAP.0000041163.95859.4D.
The deep inferior epigastric perforator flap is accepted worldwide as a reliable and relatively safe technique for autologous breast reconstruction. Preserving the continuity of the rectus muscle, it reduces donor site morbidity, allowing less postoperative pain, a faster recovery, and a reduced hospital stay. Nevertheless, the more complex nature of this type of surgery leads to increased operating time and a demand for more tedious microsurgical dissection. The authors present a modification of the deep inferior epigastric perforator flap harvesting technique that allows a more safe, simple, and faster elevation of the flap. They have used it successfully for breast reconstruction in 3 patients.