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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

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Related Experiment Video

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Engineered Vascularized Muscle Flap
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[Delayed breast reconstruction using DIEP flap without skin paddle: Technique, evaluation and management].

M Crossouard1, E Delay2, S Perez2

  • 1Service de chirurgie plastique et reconstructrice, CHU Angers, Angers, France.

Annales De Chirurgie Plastique Et Esthetique
|July 31, 2025
PubMed
Summary

This study presents a three-stage approach for delayed breast reconstruction (DBR) using a buried deep inferior epigastric perforator (DIEP) flap, offering a reliable aesthetic alternative to traditional skin paddle techniques.

Keywords:
Abdominal advancement flapDIEPDelayed breast reconstructionLambeau d’avancement abdominalQuality of lifeQualité de vieReconstruction mammaire différée

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Breast Reconstruction

Context:

  • Delayed breast reconstruction (DBR) often uses the deep inferior epigastric perforator (DIEP) flap.
  • The conventional skin paddle technique can lead to aesthetic issues like the "patch" effect.
  • A novel three-stage approach is proposed to address these aesthetic concerns.

Purpose:

  • To evaluate the safety and efficacy of a three-stage DBR method.
  • To assess the outcomes of initial prosthetic reconstruction with abdominal advancement flap and subsequent conversion to a buried DIEP flap.
  • To compare this technique with traditional skin paddle methods.

Summary:

  • Eighty-two patients underwent the protocol, with 19.5% experiencing initial prosthesis-related complications.
  • 87.8% proceeded to DIEP flap reconstruction with complete burial, requiring an average of 1.39 touch-ups.
  • 6.09% were satisfied with prosthetic reconstruction and did not proceed to flap conversion.

Impact:

  • The buried DIEP flap technique offers a safe and reproducible aesthetic alternative for DBR.
  • This strategy effectively manages complications and improves patient satisfaction.
  • The study highlights the potential of this approach in overcoming the limitations of traditional DIEP flap reconstruction.