Semin Plast Surg 2002; 16(1): 007-018
DOI: 10.1055/s-2002-22675
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Deep Inferior Epigastric Perforator Flap Breast Reconstruction

Frank J. DellaCroce, Robert J. Allen, Scott K. Sullivan
  • Department of Surgery, Division of Plastic Surgery, Louisiana State University Health Sciences Center, New Orleans, LA
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Publication History

Publication Date:
22 March 2002 (online)


Breast reconstruction is a critical part of the overall care plan for patients faced with a diagnosis of breast cancer and a plan that includes mastectomy. The evolution of reconstructive techniques has resulted in the development of procedures that restore form and a sense of wholeness without excessive morbidity. Perforator flaps best represent this state of the art in breast reconstructive surgery. Tissue is replaced with like tissue giving a result that is durable and as near to a natural breast as possible. Sparing of the rectus abdominus musculature differentiates this procedure from other autogenous modalities such as the pedicled and free transverse rectus abdominus. The deep inferior epigastric artery perforator (DIEP) flap has been shown to be a safe, dependable, and reproducible method of breast reconstruction. In addition to maintaining abdominal wall strength and minimizing the risk of subsequent hernia, the DIEP flap breast reconstruction patient has been shown to enjoy a shorter recovery period with less postoperative pain and a resultant high rate of satisfaction.