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A case of intraoperative venous congestion of the entire DIEP-flap—A novel salvage technique and review of the literature

✍ Scribed by Arash Momeni; Gordon K. Lee

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
166 KB
Volume
30
Category
Article
ISSN
0738-1085

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✦ Synopsis

Abstract

The deep inferior epigastric perforator (DIEP) flap is gaining popularity for autologous breast reconstruction as it reportedly reduces abdominal donor site morbidity when compared with the transverse rectus abdominis musculocutaneous (TRAM) flap. Disadvantages include greater technical difficulties during flap harvest and a greater incidence of vascular compromise. A well‐known and feared complication is venous congestion which requires immediate intervention. We present a novel salvage technique in a case of total flap venous congestion in the setting of absent drainage via the deep inferior epigastric vein (DIEV). Utilizing the superficial venous system via the superficial inferior epigastric vein (SIEV) and using the DIEV as a venous interposition graft resulted in successful salvage of the DIEP flap. © 2010 Wiley‐Liss, Inc. Microsurgery 30:443–446, 2010.

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