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The versatile DIEP flap: its use in lower extremity reconstruction
Koenraad Van Landuyt1, Phillip Blondeel, Moustapha Hamdi
1Department of Plastic and Reconstructive Surgery, University Hospital Gent, De Pintelaan 185, B-9000 Gent, Belgium. koenraad.vanlanduyt@ugent.be
British Journal of Plastic Surgery
|January 5, 2005
Summary
The deep inferior epigastric perforator (DIEP) flap, commonly used in breast reconstruction, is also effective for lower extremity reconstruction. This versatile flap offers ample tissue with reliable vascularity and minimal donor site issues.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- The deep inferior epigastric perforator (DIEP) flap is a well-established technique primarily utilized in breast reconstruction.
- Its potential for versatile application in other reconstructive scenarios remains an area of interest.
Observation:
- This study retrospectively analyzed 25 consecutive cases (28 flaps) of DIEP flap usage for lower extremity reconstruction over five years.
- Indications included both aesthetic and functional deficits in the lower limb.
Findings:
- DIEP flaps provided a substantial volume of skin and soft tissue suitable for lower extremity reconstruction.
- The flaps demonstrated reliable vascular supply, with long and adequately sized pedicles facilitating successful microvascular anastomosis.
- Donor-site morbidity was limited, contributing to favorable patient outcomes.
Implications:
- The deep inferior epigastric perforator (DIEP) flap is a valuable and reliable option for lower extremity reconstruction, offering an alternative to traditional methods.
- Its versatility, tissue volume, and favorable donor-site profile enhance its utility in complex reconstructive cases.
- Further research can explore expanded indications and long-term outcomes for DIEP flaps in lower extremity reconstruction.