Approach to DIEP Flap Pedicle Dissection via a Midline Fascial Incision

In this article, our technique for deep inferior epigastric pedicle dissection utilizing a midline fascial incision is described. Approaching these vessels via a midline facial incision provides facile access to the retrorectus space bilaterally, utilizes a dissection plane that facilitates preserva...

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Bibliographic Details
Published in:Plastic and reconstructive surgery. Global open 2024-12, Vol.12 (12), p.e6392
Main Authors: Gowda, Arvind U, Matatov, Tim, McClure, Kelsey, Mino, Matthew, Zakhary, Joseph
Format: Article
Language:English
Subjects:
Breast
Ideas and Innovations
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Summary:In this article, our technique for deep inferior epigastric pedicle dissection utilizing a midline fascial incision is described. Approaching these vessels via a midline facial incision provides facile access to the retrorectus space bilaterally, utilizes a dissection plane that facilitates preservation of nerve and muscle fibers, and allows for both efficient and ergonomic pedicle dissection. This method is safe and easily reproducible and may reduce abdominal donor site morbidity in deep inferior epigastric perforator flap breast reconstruction.
ISSN:2169-7574
2169-7574
DOI:10.1097/GOX.0000000000006392