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[The abdominal drop flap].

F Bodin1, P Liverneaux2, F Seigle-Murandi1

  • 1Service de chirurgie plastique et reconstructrice, hôpital Civil, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.

Annales De Chirurgie Plastique Et Esthetique
|April 22, 2015
PubMed
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The abdominal drop flap technique in deep inferior epigastric perforator (DIEP) flap breast reconstruction preserves thoracic skin. This method aims to improve aesthetic outcomes by managing the inframammary area effectively.

Area of Science:

  • Plastic Surgery
  • Breast Reconstruction
  • Microsurgery

Background:

  • Management of the skin between the mastectomy scar and inframammary fold is crucial in delayed DIEP flap breast reconstruction.
  • Conserving this skin can lead to visible skin color disparities.
  • Resection of this skin may improve aesthetics but compromises flap salvage options.

Purpose of the Study:

  • To introduce and evaluate the abdominal drop flap technique for delayed breast reconstruction.
  • To achieve superior aesthetic results while maintaining surgical safety in DIEP flap procedures.
  • To address the challenges of skin management in the inframammary region.

Main Methods:

  • The proposed technique involves detaching the inferior thoracic skin flap beyond the inframammary fold.
Keywords:
Breast cancerBreast reconstructionCancer du seinDeep inferior epigastric perforator flapFree flapLambeau libreReconstruction mammaire

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  • The preserved flap is then repositioned underneath the breast.
  • This method is utilized in the context of deep inferior epigastric perforator flap breast reconstruction.

    • Main Results:

    • The abdominal drop flap aims to minimize visible transition zones and skin color disparity.
    • It offers a potential solution for managing the inframammary skin in delayed breast reconstruction.
    • Preservation of the flap enhances reconstructive options and aesthetic outcomes.

    Conclusions:

    • The abdominal drop flap represents a novel approach to optimize aesthetic results in delayed DIEP flap breast reconstruction.
    • This technique balances aesthetic considerations with surgical safety, particularly concerning flap viability.
    • Further studies are warranted to fully assess the long-term benefits and applicability of this method.