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Skeletal Radiology

01-03-2013 | Review Article

Preoperative imaging in the planning of deep inferior epigastric artery perforator flap surgery

Published in: Skeletal Radiology | Issue 3/2013

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Abstract

Breast reconstruction with adipocutaneous free flap from the abdominal wall combines the benefits of abdominoplasty to those of a prosthesis-free breast reconstruction. The deep inferior epigastric artery perforator (DIEP) flap is supplied by intramuscular perforators from the deep inferior epigastric artery (DIEA). It consists of the dissection of perforating branches of the DIEA within the rectus abdominis muscle, thus sparing both muscle and fascia. Preoperative imaging in the planning of DIEP flap surgery has been shown to facilitate faster and safer surgery. This review article aims to discuss advantages and drawbacks of current imaging modalities for mapping the course of perforating vessels in the planning of DIEP flap surgery, and to present state-of-the-art imaging techniques.
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Metadata
Title
Preoperative imaging in the planning of deep inferior epigastric artery perforator flap surgery
Publication date
01-03-2013
Published in
Skeletal Radiology / Issue 3/2013
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-012-1461-y