Management of abdominal scars in the event of DIEP-flap breast reconstruction
T Schoeller, G Huemer, MH Matesich, G Wechselberger · Senologie - Zeitschrift für Mammadiagnostik und -therapie · 2007 · Heft 09
Bibliografische Angaben
Zusammenfassung
Introduction and aims: The deep inferior epigastric perforator (DIEP)-flap continues to be the standard treatment in microsurgical breast reconstruction. However, previous abdominal operations with resulting scars limit the use of this flap due to possible severe complications such as fat necrosis or wound break down at the donor site in subcostal scars or hemiflap failure in lower abdominal midline scars. Such circumstances reduces the surgeons' enthusiasm for such procedures. A strategy to avoid such troubles is introduced. Material and methods: Cholecystectomy scar: After harvesting the DIEP-flap the cranial…