Immediate breast reconstruction with contralateral DIEP flap following breast cancer surgery
Objective To investigate the clinical effect of immediate breast reconstruction with contralateral(healthy side)DIEP vascular pedicle flap following breast cancer surgery.Methods The data of 10 patients who underwent immediate breast reconstruction with DIEP flap after modified radical mastectomy in China-Japan Friendship Hospital from January 2022 to December 2023 were retro-spectively analyzed.Patients ranged in age from 34 to 61 years(mean 44.6 years);BMI 21.2 to 30.4 kg/m2,2 patients had a history of lower abdominal surgery(1 case with transverse cesarean incision,1 case with longitudinal abdominal incision),and 1 case with preoperative chemotherapy.All the patients received a contralateral(healthy side)single-vessel pedicled DIEP flap.Results The survival rate of 10 cas-es after DIEP flap breast reconstruction was 100%.All the reconstructed breasts were good in appearance,soft in touch and without serious complications.The patient satisfaction rate was 90.0%(9/10).Conclusion Immediate breast reconstruction with contralateral(healthy side)DIEP vascular pedicle flap is effective after breast cancer surgery.Rapid design of the flap and the division of labor between the two groups can shorten the operation time and optimize the operation process,which is conducive to the popularization of DIEP flap reconstruc-tion technology.
Deep inferior epigastric perforator flapImmediate breast reconstructionContralateral(healthy side)vascular pedicleBreast cancer