Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: May 18, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Intramuscular perforator dissection with the hydrodissection technique.

Dhruv Singhal1, Adeyiza O Momoh, Salih Colakoglu

  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA.

Journal of Reconstructive Microsurgery
|October 6, 2012
PubMed
Summary

Hydrodissection is a safe technique that aids in perforator dissection during deep inferior epigastric perforator (DIEP) flap breast reconstruction. This method facilitates easier visualization and dissection of intramuscular perforators, potentially reducing operative time.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Estimating Infarct Size in the Troponin Era: Why No Biomarker Has Replaced Creatine Kinase-Myocardial Band Area Under the Curve (CK-MB AUC) and Where the Field Must Go Next.

Cureus·2026
Same author

A cohort study on poisons, clinical insights, management of poisoning, and predictors of mortality in Pakistan.

Scientific reports·2026
Same author

National Analysis of Insurance Coverage for Gender-Affirming Surgery in the United States.

LGBT health·2026
Same author

Overcoming barriers to healthcare digitalization for older adults in Asia: What holds them back?

Digital health·2026
Same author

Design and validation of revised medication assessment tool for community-acquired Pneumonia: rMAT-CAP.

BMC infectious diseases·2026
Same author

Cumulative Medical Costs of Prepectoral Versus Subpectoral Implant-based Breast Reconstruction: A Single-Center Retrospective Analysis.

Plastic and reconstructive surgery. Global open·2026

Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Surgical Innovation

Background:

  • Perforator flap breast reconstruction, particularly deep inferior epigastric perforator (DIEP) flap procedures, involves complex and time-consuming dissection of perforator vessels.
  • The intramuscular course of these perforators presents a significant challenge, increasing operative time and complexity.
  • Current dissection methods can be demanding, necessitating innovative approaches to improve efficiency and safety.

Purpose of the Study:

  • To evaluate the safety and efficacy of hydrodissection as an adjunctive technique for intramuscular perforator dissection in DIEP flap breast reconstruction.
  • To compare operative times and complication rates between patients undergoing DIEP flap reconstruction with and without the use of hydrodissection.
  • To assess the impact of hydrodissection on the ease of perforator visualization and dissection through the intramuscular course.

More Related Videos

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
11:12

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

A Suture Technique for Ruptured Annulus Fibrosus Following Decompression Under Percutaneous Transforaminal Endoscopic Discectomy
03:24

A Suture Technique for Ruptured Annulus Fibrosus Following Decompression Under Percutaneous Transforaminal Endoscopic Discectomy

Published on: January 26, 2024

Related Experiment Videos

Last Updated: May 18, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
11:12

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

A Suture Technique for Ruptured Annulus Fibrosus Following Decompression Under Percutaneous Transforaminal Endoscopic Discectomy
03:24

A Suture Technique for Ruptured Annulus Fibrosus Following Decompression Under Percutaneous Transforaminal Endoscopic Discectomy

Published on: January 26, 2024

Main Methods:

  • A retrospective review was conducted comparing 45 patients (64 flaps) who underwent DIEP flap breast reconstruction using hydrodissection with 39 patients (55 flaps) who did not utilize this technique.
  • Data collected included patient demographics, operative times for unilateral and bilateral reconstructions, and complication rates such as flap loss and fat necrosis.
  • The study period spanned from March 2008 to March 2010, allowing for a direct comparison of outcomes before and after the implementation of hydrodissection.

Main Results:

  • No significant differences in major complications or flap loss were observed between the hydrodissection and control groups.
  • Fat necrosis rates were comparable, with 9.4% in the hydrodissection group versus 14.5% in the control group (p = 0.41).
  • While operative time decreased by an average of 59 minutes for bilateral and 21 minutes for unilateral reconstructions with hydrodissection, these reductions were not statistically significant (p = 0.13 and p = 0.57, respectively).

Conclusions:

  • Hydrodissection is a safe adjunctive technique for intramuscular perforator dissection in DIEP flap breast reconstruction, with no increased risk of complications.
  • Surgeons reported improved visualization of perforators and easier dissection through the intramuscular course when using hydrodissection.
  • Although not statistically significant in this series, the trend towards reduced operative time suggests potential efficiency gains with this innovative surgical approach.