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Updated: Jun 3, 2026
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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
Buttock reconstruction using a pedicled deep inferior epigastric perforator flap
Kwang Seog Kim1, Eui Sik Kim, Jae Ha Hwang
1Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea. pskim@chonnam.ac.kr
Microsurgery
|March 15, 2011
Summary
Deep inferior epigastric perforator (DIEP) flaps, typically used for breast reconstruction, were successfully employed as pedicled flaps for buttock reconstruction. This technique offers a viable solution for severe scar contractures and large buttock defects.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Deep inferior epigastric perforator (DIEP) flaps are primarily utilized as free flaps for breast reconstruction.
- Their application as pedicled island flaps is less common, with limited use in lateral hip reconstruction.
- The use of DIEP flaps for buttock reconstruction has not been previously reported.
Observation:
- The authors successfully utilized a pedicled oblique DIEP flap to reconstruct a severe scar contracture in the buttock.
- This represents a novel application of the DIEP flap in reconstructive surgery.
- The flap provided adequate tissue for defect coverage.
Findings:
- A pedicled oblique DIEP flap is a feasible and effective option for buttock reconstruction.
- This technique can address significant defects, such as those resulting from severe scar contractures.
- The oblique DIEP flap serves as a valuable alternative when a transverse DIEP flap is not suitable.
Implications:
- This study expands the reconstructive potential of DIEP flaps beyond breast surgery.
- It offers a new surgical strategy for managing complex buttock defects.
- The findings may encourage wider consideration of pedicled DIEP flaps in various reconstructive scenarios.
