Monsivais Sharon E, Webster Nicholas D, Wong Stacy, Saint-Cyr Michel H
Division of Plastic Surgery, Baylor Scott & White Health, 2401 South 31st Street, Temple, TX 76508, USA.
Division of Plastic Surgery, Baylor Scott & White Health, 2401 South 31st Street, Temple, TX 76508, USA.
Clin Plast Surg. 2017 Jan;44(1):109-115. doi: 10.1016/j.cps.2016.09.002.
The deep inferior epigastric perforator (DIEP) flap can be used to cover large defects of the proximal lower extremity, abdominal wall, perineum, vulva, and buttock. Pre-expanding DIEP flaps cause a possible delay phenomenon improving vascularity, decrease donor site morbidity, and increase the area that can be covered. Pre-expansion requires staged procedures, has risk of extrusion and infection, causes temporary contour deformity during the expansion process, and requires a longer course. Pre-expanded DIEP flaps can be a useful flap with proper patient selection and planning.
腹壁下深动脉穿支（DIEP）皮瓣可用于覆盖下肢近端、腹壁、会阴、外阴和臀部的大面积缺损。预扩张DIEP皮瓣可能会出现延迟现象，可改善血运，降低供区并发症发生率，并增加可覆盖的面积。预扩张需要分阶段进行手术，有发生皮瓣挤出和感染的风险，在扩张过程中会导致暂时的外形畸形，且疗程较长。对于合适的患者进行选择和规划，预扩张DIEP皮瓣可能是一种有用的皮瓣。
