Breast reconstruction with perforator flaps: use of the DIEAP flap at the Plastic Surgery and Microsurgery Service of Universidade Federal de Ciências da Saúde de Porto Alegre and Santa Casa de Misericórdia de Porto Alegre

ABSTRACT

Introduction:

Great advances have been reported since the first abdominal tissue transfer carried out for breast reconstruction after a mastectomy. The deep inferior epigastric artery perforator (DIEAP) flap is one of the most recent advances in this area.

Methods:

In this article, we evaluate the important aspects in the field of autologous breast reconstruction with abdominal-based flaps, with emphasis on microsurgical flaps vascularized by perforating pedicles.

Results:

During the initial experience of this procedure, we were able to verify that the flap behaved according to what was reported in the literature.

Conclusion:

The DIEAP flap provides a great degree of sculpting and volumetric gain to the reconstructed breast besides allowing a positive postoperative course for the patient.

Keywords:
Breast; Reconstruction; Perforator flaps