Refined DIEP Flap Technique for Vaginal Reconstruction

Zeng, Ang; Qiao, Qun; Yu, Peirong; Fei, Liu Z.; Zhu, Lin; Wei, Li W.; Lin, Zhang H.; Rong, Fang

doi:10.1016/j.urology.2008.11.054

Cited by 19 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The pedicled DIEP flap could be too bulky for vaginal reconstruction ( 86 ). For this reason, several articles have proposed thinning of the flap as part of the primary procedure ( 87 , 97 ). The authors concluded that the DIEP flap can provide a reliable and adequate soft tissue paddle for perineal reconstruction and that it can be thinned without damaging the tissues inferior to the superficial epigastric vein.…”

Section: Resultsmentioning

confidence: 99%

“…It has been described in a few other cases of congenital agenesis since (86,87,94,97). Apart from these unusual cases, this flap was used mostly in the context of oncological reconstruction (85)(86)(87)90,93,97) after primary resection (85) or in cases of recurrence (94). We reported in Table 5 the advantages and disadvantages of the DIEP flap in vaginal reconstruction.…”

Section: Pros Consmentioning

confidence: 99%

“…The first description of a pedicled DIEP flap for vaginal reconstruction was described in 2006 (96) for reconstruction of the external genitalia in a case of congenital vaginal agenesis. It has been described in a few other cases of congenital agenesis since (86,87,94,97). Apart from these unusual cases, this flap was used mostly in the context of oncological reconstruction (85)(86)(87)90,93,97) after primary resection (85) or in cases of recurrence (94).…”

Section: Pros Consmentioning

confidence: 99%

See 2 more Smart Citations

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

Section: Resultsmentioning

confidence: 99%

Section: Pros Consmentioning

confidence: 99%

Section: Pros Consmentioning

confidence: 99%

See 1 more Smart Citation

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

show abstract

“…Several publications have reported the use of the DIEP flap for vaginal reconstruction for agenesis and oncological reconstruction with a vertically oriented incision. [10][11][12] In a subsequent report, Ang further described modified surgical techniques to safely thin the DIEP flap for a variety of perineal reconstructions, including vaginal agenesis, vulvar tumor extirpation, and penoscrotal Paget disease. The authors very carefully thinned the flap in a plane inferior to both the subdermal plexus and superficial inferior epigastric vein (SIEV) system based on preoperative computed tomography angiography (CTA) findings and successfully reduced flap thickness from 28 mm to 38 mm to 6 mm to 11 mm.…”

Section: Discussionmentioning

confidence: 99%

Split and Thinned Pedicle Deep Inferior Epigastric Perforator (DIEP) Flap for Vulvar Reconstruction

Cheng

Saint‐Cyr

2013

J reconstr Microsurg

View full text Add to dashboard Cite

Vulvar defects following tumor extirpation are most commonly closed primarily by the gynecologist but larger and/or radiated defects often require reconstruction with flaps for adequate coverage and wound healing. Recurrence of vulvar carcinomas remains a challenge, so secondary reconstruction becomes increasingly problematic where locoregional flaps (i.e., gracilis, rectus, anterolateral thigh, and gluteal flaps) may have already been utilized, radiated, or have resulted in unacceptable cosmetic or functional morbidity. We present two cases of recurrent vulvar carcinoma following radiation therapy requiring total vulvectomy and a novel approach for soft-tissue reconstruction. Previous authors have reported the use of thinned and split flaps, but we combine these techniques to split and thin a transversely oriented deep interior epigastric artery perforator (DIEP) flap to maximize aesthetic results and minimize donor-site morbidity. The DIEP flap is commonly performed by microsurgeons for autologous free-tissue transfer in breast reconstruction but also serves as a useful option for large vulvar or perineal defects, either in primary or secondary reconstruction.

show abstract

“…Recently, pedicled perforator flaps have been described for vaginal reconstruction. These include deep inferior epigastric perforator (DIEP) flaps, 23,24 muscle-sparing vertical rectus, 25 superior and inferior gluteal artery perforator (SGAP. IGAP) flaps 26 and even free-style perforator flaps.…”

Section: Fasciocutaneous and Myocutaneous Flapsmentioning

confidence: 99%

Reconstruction of Acquired Defects of the Vagina and Perineum

Salgado

Chim

Skowronski

et al. 2011

Seminars in Plastic Surgery

View full text Add to dashboard Cite

Successful reconstruction of vaginal and perineal defects requires close communication and cooperation between the extirpative and reconstructive surgeon. A variety of reconstructive options is available, dependent on the nature of the defect and extent of the ablative surgery. In all cases, obliteration of pelvic dead space and separation of intraabdominal contents from the perineum are important considerations to ensure uncomplicated perineal wound healing. The decision for vaginal reconstruction is also contingent upon the age, sexual function, and wishes of the patient. In this article, we review options for vaginal and perineal reconstruction in acquired defects.

show abstract

Refined DIEP Flap Technique for Vaginal Reconstruction

Cited by 19 publications

References 21 publications

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

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

Split and Thinned Pedicle Deep Inferior Epigastric Perforator (DIEP) Flap for Vulvar Reconstruction

Reconstruction of Acquired Defects of the Vagina and Perineum

Contact Info

Product

Resources

About