Microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstruction
Because of the high incidence of breast cancer in the population, breast reconstruction remains actual after complex cancer treatment.Aim. To characterise revascularization methods based on deep inferior epigastric perforator flaps (DIEP flap), test the frequency and risk factors for perfusion related...
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| Format: | Article |
| Language: | Russian |
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Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
2019-09-01
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| Series: | Сеченовский вестник |
| Subjects: | |
| Online Access: | https://www.sechenovmedj.com/jour/article/view/109 |
| _version_ | 1797873694407655424 |
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| author | M. Ye. Sinelnikov O. I. Starceva D. V. Melnikov S. I. Ivanov |
| author_facet | M. Ye. Sinelnikov O. I. Starceva D. V. Melnikov S. I. Ivanov |
| author_sort | M. Ye. Sinelnikov |
| collection | DOAJ |
| description | Because of the high incidence of breast cancer in the population, breast reconstruction remains actual after complex cancer treatment.Aim. To characterise revascularization methods based on deep inferior epigastric perforator flaps (DIEP flap), test the frequency and risk factors for perfusion related complications. Materials and methods. The study included 157 patients, with 190 reconstructions performed. The tactics of choosing donor and recipient vessels were determined using an intraoperative assessment of the dominant blood supply system: sample with blood flow stop.Results. In most reconstructions, the deep inferior epigastric arteries were the main source of blood supply to the flap. Non - standard revascularization was required in 14% of cases and was associated with prior interventions on the anterior abdominal wall or individual characteristics of its blood supply. Venous super - drainage was performed in 30% of cases. Most often, the perforating veins of the anterior chest and the retrograde pedicle of the internal chest vein were used as recipient vessels. Complete flap loss occurred in 2% of cases. We observed perfusion complications in 17% of cases, statistically significantly more often in smokers ( p |
| first_indexed | 2024-04-10T01:19:11Z |
| format | Article |
| id | doaj.art-0cc81d2b6ea147a2a7a1b2e5a39a79f5 |
| institution | Directory Open Access Journal |
| issn | 2218-7332 2658-3348 |
| language | Russian |
| last_indexed | 2024-04-10T01:19:11Z |
| publishDate | 2019-09-01 |
| publisher | Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) |
| record_format | Article |
| series | Сеченовский вестник |
| spelling | doaj.art-0cc81d2b6ea147a2a7a1b2e5a39a79f52023-03-13T09:51:33ZrusFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Сеченовский вестник2218-73322658-33482019-09-011032229108Microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstructionM. Ye. Sinelnikov0O. I. Starceva1D. V. Melnikov2S. I. Ivanov3Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Because of the high incidence of breast cancer in the population, breast reconstruction remains actual after complex cancer treatment.Aim. To characterise revascularization methods based on deep inferior epigastric perforator flaps (DIEP flap), test the frequency and risk factors for perfusion related complications. Materials and methods. The study included 157 patients, with 190 reconstructions performed. The tactics of choosing donor and recipient vessels were determined using an intraoperative assessment of the dominant blood supply system: sample with blood flow stop.Results. In most reconstructions, the deep inferior epigastric arteries were the main source of blood supply to the flap. Non - standard revascularization was required in 14% of cases and was associated with prior interventions on the anterior abdominal wall or individual characteristics of its blood supply. Venous super - drainage was performed in 30% of cases. Most often, the perforating veins of the anterior chest and the retrograde pedicle of the internal chest vein were used as recipient vessels. Complete flap loss occurred in 2% of cases. We observed perfusion complications in 17% of cases, statistically significantly more often in smokers ( phttps://www.sechenovmedj.com/jour/article/view/109diep лоскутbreast reconstructionrehabilitationbreast cancerdeep inferior epigastric perforator flapperforator flapsmicrosurgeryrevascularization |
| spellingShingle | M. Ye. Sinelnikov O. I. Starceva D. V. Melnikov S. I. Ivanov Microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstruction Сеченовский вестник diep лоскут breast reconstruction rehabilitation breast cancer deep inferior epigastric perforator flap perforator flaps microsurgery revascularization |
| title | Microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstruction |
| title_full | Microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstruction |
| title_fullStr | Microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstruction |
| title_full_unstemmed | Microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstruction |
| title_short | Microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstruction |
| title_sort | microvascular aspects of deep inferior epigastric perforator flap revascularization in breast reconstruction |
| topic | diep лоскут breast reconstruction rehabilitation breast cancer deep inferior epigastric perforator flap perforator flaps microsurgery revascularization |
| url | https://www.sechenovmedj.com/jour/article/view/109 |
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