Breast reconstruction with deep inferior epigastric artery perforator flap (DIEP-flap). History of development

The article is devoted to the actual topic of breast reconstruction with autologous tissues. The article discusses the key stages in the development of breast reconstructive surgery using free flaps using microsurgical techniques. A flap of the anterior abdominal wall, among other techniques, is the...

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Main Authors: I. S. Duadze, A. D. Zikiryakhodzhaev, A. S. Sukhotko, M. V. Starkova, F. N. Usov, D. V. Bagdasarova, D. Sh. Dzhabrailova, Sh. G. Khakimova
Format: Article
Language:Russian
Published: QUASAR, LLC 2021-09-01
Series:Issledovaniâ i Praktika v Medicine
Subjects:
Online Access:https://www.rpmj.ru/rpmj/article/view/702
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author I. S. Duadze
A. D. Zikiryakhodzhaev
A. S. Sukhotko
M. V. Starkova
F. N. Usov
D. V. Bagdasarova
D. Sh. Dzhabrailova
Sh. G. Khakimova
author_facet I. S. Duadze
A. D. Zikiryakhodzhaev
A. S. Sukhotko
M. V. Starkova
F. N. Usov
D. V. Bagdasarova
D. Sh. Dzhabrailova
Sh. G. Khakimova
author_sort I. S. Duadze
collection DOAJ
description The article is devoted to the actual topic of breast reconstruction with autologous tissues. The article discusses the key stages in the development of breast reconstructive surgery using free flaps using microsurgical techniques. A flap of the anterior abdominal wall, among other techniques, is the method of choice for breast reconstruction today, also because it allows you to achieve the most "natural" result. The authors compares different variants of autologous flaps, describes the advantages of the DIEP flap in comparison with the TRAM flap. Also, special attention is paid to the choice of breast reconstruction method depending on age, constitutional characteristics and the presence of risk factors such as smoking, diabetes mellitus and excess BMI. Analyzing the advantages of breast reconstruction with autograft flaps, the author concludes that there is a higher quality of life and improved outcomes in these patients than in patients who underwent implant-based reconstruction. Based on the literature review, it was found that breast reconstruction with the help of perforating flaps is still an area of innovation and constant progress: research in this area to date is mainly aimed at reducing the morbidity of the donor area and methods for isolating recipient vessels, shortening the rehabilitation period and developing reproducible reconstruction method.
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spelling doaj.art-29d6f4952bf54c1d88464e6120aceafc2023-03-13T09:35:02ZrusQUASAR, LLCIssledovaniâ i Praktika v Medicine2410-18932021-09-018310811710.17709/2410-1893-2021-8-3-10413Breast reconstruction with deep inferior epigastric artery perforator flap (DIEP-flap). History of developmentI. S. Duadze0A. D. Zikiryakhodzhaev1A. S. Sukhotko2M. V. Starkova3F. N. Usov4D. V. Bagdasarova5D. Sh. Dzhabrailova6Sh. G. Khakimova7ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский университет); МНИОИ им. П.А.Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава РоссииФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский университет); МНИОИ им. П.А.Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава России; ФГАОУ ВО «Российский университет дружбы народов»ГБУЗ ГКБ им. С.П.Боткина ДЗММНИОИ им. П.А.Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава РоссииМНИОИ им. П.А.Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава РоссииМНИОИ им. П.А.Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава РоссииМНИОИ им. П.А.Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава РоссииТашкентский педиатрический медицинский институтThe article is devoted to the actual topic of breast reconstruction with autologous tissues. The article discusses the key stages in the development of breast reconstructive surgery using free flaps using microsurgical techniques. A flap of the anterior abdominal wall, among other techniques, is the method of choice for breast reconstruction today, also because it allows you to achieve the most "natural" result. The authors compares different variants of autologous flaps, describes the advantages of the DIEP flap in comparison with the TRAM flap. Also, special attention is paid to the choice of breast reconstruction method depending on age, constitutional characteristics and the presence of risk factors such as smoking, diabetes mellitus and excess BMI. Analyzing the advantages of breast reconstruction with autograft flaps, the author concludes that there is a higher quality of life and improved outcomes in these patients than in patients who underwent implant-based reconstruction. Based on the literature review, it was found that breast reconstruction with the help of perforating flaps is still an area of innovation and constant progress: research in this area to date is mainly aimed at reducing the morbidity of the donor area and methods for isolating recipient vessels, shortening the rehabilitation period and developing reproducible reconstruction method.https://www.rpmj.ru/rpmj/article/view/702рак молочной железыреконструкция молочной железыdiep-лоскутtram-лоскутперфорантные лоскутыаутологичные лоскуты
spellingShingle I. S. Duadze
A. D. Zikiryakhodzhaev
A. S. Sukhotko
M. V. Starkova
F. N. Usov
D. V. Bagdasarova
D. Sh. Dzhabrailova
Sh. G. Khakimova
Breast reconstruction with deep inferior epigastric artery perforator flap (DIEP-flap). History of development
Issledovaniâ i Praktika v Medicine
рак молочной железы
реконструкция молочной железы
diep-лоскут
tram-лоскут
перфорантные лоскуты
аутологичные лоскуты
title Breast reconstruction with deep inferior epigastric artery perforator flap (DIEP-flap). History of development
title_full Breast reconstruction with deep inferior epigastric artery perforator flap (DIEP-flap). History of development
title_fullStr Breast reconstruction with deep inferior epigastric artery perforator flap (DIEP-flap). History of development
title_full_unstemmed Breast reconstruction with deep inferior epigastric artery perforator flap (DIEP-flap). History of development
title_short Breast reconstruction with deep inferior epigastric artery perforator flap (DIEP-flap). History of development
title_sort breast reconstruction with deep inferior epigastric artery perforator flap diep flap history of development
topic рак молочной железы
реконструкция молочной железы
diep-лоскут
tram-лоскут
перфорантные лоскуты
аутологичные лоскуты
url https://www.rpmj.ru/rpmj/article/view/702
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AT shgkhakimova breastreconstructionwithdeepinferiorepigastricarteryperforatorflapdiepflaphistoryofdevelopment