Skin-sparing mastectomy and immediate reconstruction with a deep inferior epigastric perforator flap.

Department of Plastic Surgery, Osaka University Graduate School of Medicine, 2-2,Yamadaoka, Suita, Osaka 565-0871, Japan.
Breast Cancer (Impact Factor: 1.33). 02/2003; 10(3):275-80. DOI: 10.1007/BF02966729
Source: PubMed

ABSTRACT It is important for breast reconstruction after mastectomy to recreate immediately good breast symmetry with an adequate amount of soft tissue.
Eight patients with breast cancer underwent skin-sparing mastectomy and immediate reconstruction with a deep inferior epigastric perforator flap. This operative technique, and the results, advantages, and disadvantages of the technique were assessed.
Seven patients had stage IIA disease, and one patient had stage I disease. An arc-shaped incision was made just at the lateral border of the breast in all patients. Three patients had a separate periareolar incision, and one had a circumferential nipple incision. There was 100% flap survival, and good breast symmetry was achieved in all patients. No major perioperative complications occurred in this series. A small amount of fat necrosis occurred in one flap. One patient had slight abdominal bulging. Minor wound-healing problems at the lateral breast skin envelope occurred in two patients.
These data indicate that skin-sparing mastectomy and immediate reconstruction with a DIEP flap is a reliable and safe technique. This method is a potentially useful surgical technique, which has achieved very promising results.

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