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Date Published: 24/10/2021
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DOI: https://doi.org/10.51298/vmj.v506i2.1229
Issue
Vol. 506 No. 2 (2021)
Section
Các bài báo
How to Cite
Tuấn Nghĩa, P., Thị Việt Dung, P. ., & Thị Hồng Thúy, T. . (2021). CLINICAL ANATOMY OF D.I.E.P FLAP IN BREAST RECONSTRUCTION\AFTER TOTAL MASTECTOMY BY CÁCER. Vietnam Medical Journal, 506(2). https://doi.org/10.51298/vmj.v506i2.1229

CLINICAL ANATOMY OF D.I.E.P FLAP IN BREAST RECONSTRUCTION\AFTER TOTAL MASTECTOMY BY CÁCER

Phan Tuấn Nghĩa1,, Phạm Thị Việt Dung1, Tạ Thị Hồng Thúy1
1 Hanoi Medical University

Main Article Content

Abstract

Objective: This paper aims to describe the clinical anatomical characteristics of the Deep Inferior Epigastric Perforator flap (D.I.E.P) in breast reconstruction after total mastectomy. Methods: The study was carried out on 29 patients at Hanoi Medical University hospital from August 2019 to May 2021. Results: the average flap size was 35,0 ± 4,33 cm long and 12,41 ± 1,9 cm wide. The average volume of dissected flap was 573,62 ± 130,39 ml, the average volume of reconstruction flap was 408,97 ± 111,27 ml (the lowest was 240 ml, the highest was 750 ml). The flap used for reconstruction was 10,02 ± 7,4% larger than the removed breast volume. The average number of perforator used was 1,97 ± 0,5 perforator per flap, and the distance from the position of the perforator penetrating the superficial fascia of the abdomen to the umbilicus was 3,85 ± 1,58 cm. All cases have at least one large perforating vessel within a circle of radius 5 cm with center at the umbilicus. The average pedicle length was 8,95 ± 1,69 cm. Our conclusion once again emphasizes that the DIEP flap is a suitable and reliable material for the breast reconstruction.

Article Details

Keywords

Deep inferior epigastric perforator flap, D.I.E.P flap, clinical anatomical characteristics

References

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