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Integrated Microsurgical Rehabilitation Using Deep Inferior Epigastric Perforator Flap Breast Reconstruction Combined
Aoshuang Qin1, Yue Li2, Qinzhuo Li2
1From the Department of Burn, Plastic and Cosmetic Surgery, Xian Central Hospital Affiliated to Xian Jiaotong University, Xian, Shaanxi, China.
None:
Single-stage autologous breast reconstruction combining deep inferior epigastric perforator flap reconstruction, vascularized lymph node transfer, and abdominoplasty has emerged as a potential strategy for breast cancer-related lymphedema. A 39-year-old woman with a 12-year history of stage II breast cancer-related lymphedema underwent a single-stage procedure combining deep inferior epigastric perforator flap reconstruction, vascularized lymph node transfer, and abdominal contouring. Limb circumference decreased by 1.7-4.4 cm across 9 measurement points, with subjective symptom improvement and satisfactory breast contour restoration. This case demonstrates the feasibility of a single-stage approach that simultaneously restores breast contour, improves lymphatic function, and optimizes abdominal aesthetics.
