Pedicled Deep Inferior Epigastric Perforator Flap for Lower Abdominal Defects and Genital Reconstructive Surgery

Seyhan, Tamer; Borman, Hüseyin

doi:10.1055/s-0028-1082025

Cited by 22 publications

(15 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While its use in free tissue transfer has been widely reported, its use as a local pedicled flap has been more rarely described. In the literature, few reports describe use of the DIEP flap for hip, vulvar, or groin defects reconstruction [ 18 , 19 ] and there are 2 reports of abdominal wall reconstruction [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Giant Basal Cell Carcinoma of the Abdominal Wall: Excision and Immediate Reconstruction with a Pedicled Deep Inferior Epigastric Artery Perforator (DIEP) Flap

et al. 2017

View full text Add to dashboard Cite

Patient: Female, 82Final Diagnosis: Giant basal cell carcinomaSymptoms: AnemiaMedication: —Clinical Procedure: —Specialty: Plastic SurgeryObjective:Rare diseaseBackground:Basal cell carcinoma (BCC) greater than 5 cm in diameter is called giant basal cell carcinoma (GBCC), or super giant basal cell carcinoma if it has a diameter larger than 20 cm. Giant BCC only accounts for 0.5% of BCCs and super giant BCC is exceedingly rare. On account of their rarity, there are no established guidelines for GBCC treatment.Case Report:We describe a peculiar case of an 82-year-old woman with a GBCC carcinoma of the lower abdominal wall. The tumor was surgically removed with ipsilateral inguinal lymph nodes and the abdominal wall was reconstructed immediately with a pedicled deep inferior epigastric artery perforator (DIEP) flap.Conclusions:Treatment of giant basal cell carcinoma is often difficult, especially in elderly patients with poor general health and multiple pathologies. The pedicled DIEP flap is rotated to cover the loss of substance without tension, and it is easy to harvest and transfer. This flap allowed a good result without local or systemic complication. We present this report as a reminder of the occasional occurrence of extremely aggressive BCCs. We believe that, especially for rare tumors like these, it is very useful for the entire scientific community to publish these cases and the therapeutic strategies used to treat them.

show abstract

Section: Discussionmentioning

confidence: 99%

A Rare Case of Giant Basal Cell Carcinoma of the Abdominal Wall: Excision and Immediate Reconstruction with a Pedicled Deep Inferior Epigastric Artery Perforator (DIEP) Flap

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Local muscle flaps, such as the TFL, rectus abdominis, rectus femoris or gracilis flaps, 21,22 all require the sacrifice of a functioning muscle. Pedicled fasciocutaneous flaps, such as the anterolateral thigh flap or deep inferior epigastric artery perforator flap require extensive dissection and/or denervation of adjacent normal skin 23–25 . Free flaps are more technically difficult to perform, carry a more precarious blood supply, utilizes distant skin which may not match the local anatomy and are not always an option in a cohort of patients with substantial comorbidities.…”

Section: Discussionmentioning

confidence: 99%

“…Pedicled fasciocutaneous flaps, such as the anterolateral thigh flap or deep inferior epigastric artery perforator flap require extensive dissection and/or denervation of adjacent normal skin. [23][24][25] Free flaps are more technically difficult to perform, carry a more precarious blood supply, utilizes distant skin which may not match the local anatomy and are not always an option in a cohort of patients with substantial comorbidities. Other approaches have only been reported on isolated case study bases.…”

Section: Discussionmentioning

confidence: 99%

Quadriceps keystone island flap for radical inguinal lymphadenectomy: a reliable locoregional island flap for large groin defects

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Penoscrotal O u r l i t e r a t u r e s e a r c h r e t u r n e d f i v e c a s e s s e r i e s (87,(109)(110)(111)(112) on penile reconstruction, after circumcision complications and penile amputation (109,111), for false hermaphroditism (109) (matching chromosomal and gonadal tissue sex, but mismatching external genitalia) and cases of penoscrotal Paget's disease (87,112). For scrotal reconstruction, five articles were included: there were two case series (47,112), a commentary (113), and two case reports on reconstruction after Fournier's gangrene (114,115).…”

Section: Penoscrotal and Groin Reconstructionmentioning

confidence: 99%

The deep inferior epigastric artery perforator flap: a narrative review on its various uses in non-breast reconstruction

Guinier¹,

Clermont-Tonnerre²,

Tay³

et al. 2023

Ann Transl Med

View full text Add to dashboard Cite

Background and Objective: The deep inferior epigastric artery perforator (DIEP) flap was first described by Koshima and Soeda in 1989 and is now well-established as the gold standard in breast reconstruction. Lately, this issue has been explored in the context of head and neck reconstruction, highlighting growing interest in the use of the DIEP flap beyond breast reconstruction, but its usage in other anatomical regions appears elusive. Nevertheless, DIEP flap reconstruction may be a viable choice for complex, three-dimensional head and neck deformities while upholding the criteria of minimal donor site morbidity, according to a recent review. To determine whether the DIEP flap may be used successfully in other types of reconstruction, we conducted a review on the use, applications, and outcomes of the DIEP flap in non-breast reconstruction. This is, as far as we are aware, the first comprehensive analysis of all applications of the DIEP flap other than for breast reconstruction.Methods: A literature review was performed using PubMed to include all relevant articles in English or French published up to February 2022. Keywords included "DIEP flap" and "deep inferior epigastric perforator flap". Key Contents and Findings: A total of 1,299 articles were identified with 105 on the use of the DIEP flap in non-breast reconstruction. This suggests increasing recognition of the DIEP flap as a feasible option for reconstruction of most anatomical regions, especially in lower limb and head and neck reconstruction, followed by gynecological reconstruction. The DIEP flap was also utilized in the reconstruction of upper limb, thigh and hip defects. Less commonly, it has been used for penoscrotal, groin, sternal, buttock and abdomen reconstruction. Conclusions:The scientific body of evidence showed the robustness and versatility of the DIEP flap in non-breast reconstruction, with its relative pros and cons at different anatomical regions.

show abstract

Pedicled Deep Inferior Epigastric Perforator Flap for Lower Abdominal Defects and Genital Reconstructive Surgery

Cited by 22 publications

References 22 publications

A Rare Case of Giant Basal Cell Carcinoma of the Abdominal Wall: Excision and Immediate Reconstruction with a Pedicled Deep Inferior Epigastric Artery Perforator (DIEP) Flap

A Rare Case of Giant Basal Cell Carcinoma of the Abdominal Wall: Excision and Immediate Reconstruction with a Pedicled Deep Inferior Epigastric Artery Perforator (DIEP) Flap

Quadriceps keystone island flap for radical inguinal lymphadenectomy: a reliable locoregional island flap for large groin defects

The deep inferior epigastric artery perforator flap: a narrative review on its various uses in non-breast reconstruction

Contact Info

Product

Resources

About