Approach to DIEP Flap Pedicle Dissection via a Midline Fascial Incision

Area of Science:

• Plastic Surgery
• Surgical Techniques

Background:

• Deep inferior epigastric perforator (DIEP) flap breast reconstruction is a common procedure.
• Abdominal donor site morbidity can occur with traditional dissection methods.

Purpose of the Study:

• To describe a novel technique for deep inferior epigastric pedicle dissection using a midline fascial incision.
• To evaluate the safety, reproducibility, and potential benefits of this approach.

Main Methods:

• The technique involves a midline fascial incision for accessing the retrorectus space.
• Dissection is performed to preserve nerve and muscle fibers, facilitating pedicle isolation.

Main Results:

• The midline approach provides bilateral access to the retrorectus space.
• This method allows for efficient and ergonomic pedicle dissection.
• The technique is safe and easily reproducible.

Conclusions:

• The described midline fascial incision technique for deep inferior epigastric pedicle dissection is a viable alternative.
• This approach may potentially decrease abdominal donor site morbidity in DIEP flap breast reconstruction.