Abstract

CASADO SANCHEZ, C.; CABRERA SANCHEZ, E.; REDONDO CAMACHO, A.  and  RIOJA TORREJON, L. F.. Analysis of debated uses in mammary reconstruction with DIEP flap. Cir. plást. iberolatinoam. [online]. 2008, vol.34, n.4, pp.267-275. ISSN 1989-2055.

The use of DIEP (Deep Inferior Epigastric Perforator) flap surgery in breast reconstruction is often conditioned by the patient and the oncologic treatment characteristics to such an extent that several working groups advise against this surgical procedure when any of these factors is present. In the study of this interaction, an analysis of its impact on the flap feasibility and its correlation with postoperative complications was carried out as an attempt to gain accuracy in the prescription of this technique. The factors under assessment were smoking habits, previous surgical interventions involving the abdominal wall to any extent, patient obesity, contralateral breast size, pre- and post-reconstruction radiotherapy, and lastly the medical costs. These factors coincide with the most debated issues in the related literature. The results of 55 breast reconstructions by DIEP flap surgery performed between january 2000 and november 2005 were evaluated, together with the latest studies and publications on the subject. The study revealed a poor correlation between DIEP flap surgery failure rates and the conditioning factors analyzed, while two scenarios proved to be absolutely incompatible with successful DIEP flap surgery: previous abdominoplasty and adjuvant radiotherapy after immediate reconstruction. In light of the excellent global results obtained, DIEP flap surgery is recommended over other therapeutic options.

Keywords : Mammary reconstruction; Flaps; DIEP.

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