The extended deep inferior epigastric flap: a clinical technique.

A versatile flap based on the deep inferior epigastric artery is presented. Its application for local and free-flap transfer is discussed and presented in two clinical cases. The possible inclusion of bone as an osteocutaneous flap is outlined. The flap can be raised with ease and speed, and the donor site is repaired as a linear scar. Since the latissimus dorsi flap with its pedicle based in the axilla has become the workhorse for the upper torso, this extended flap may become its distal counterpart with its pedicle based on the groin.