Since the first reported use of lower abdominal tissue from the lower abdominal skin
and fat by Hans Holmstrom in 1979, there have been over 300 publications on this subject.
The refinements have been aimed at Ule limitation of donor mOibidity and to allow
a predictable success of the transfer. This article analyses the landmarks and highlights
the key developments in this area. The more recent development in this area - the
Deep Inferior Epigastric Perforator flap is discussed.
KEYWORDS
Breast reconstruction - Free tissue transfer - Deep Inferior Epigastric Perforator
flap (DIEP flap)