THE USE OF BILATERAL DEEP INFERIOR EPIGASTRIC PERFORATOR FLAP (DIEP) IN BUTTOCK DEFORMITY RECONSTRUCTION - CASE REPORT
Main Article Content
Abstract
Buttock soft tissue defects can be encountered due to many causes and also have many treatment solutions. Usually, defects are common on one side of the buttocks and cutaneous skin flaps in place, local or regional used. The article analyzes a rather rare case with a soft tissue defect in the buttocks on both sides as a necrotic sequela after injecting fillers for cosmetic purposes. After treatment of necrotizing inflammation, the sequelae left behind is a concave scar and deformed buttock on both sides. The local fat flaps are not valuable in this case, while the free fat flap will face many risks of failure due to the use of 2 flaps on both sides, the post-operative care position is also very difficult, easy to cause tension, compress the vascular pedicles. This clinical case with the use of bilateral DIEP flaps, and the postoperative results in this case are analyzed and evaluated in the article.
Article Details
Keywords
buttock necrosis, DIEP flap
References
2. Rubayi S, Chandrasekhar BS. Trunk, abdomen, and pressure sore reconstruction. Plast Reconstr Surg. 2011;128:201e-15e. [PubMed] [Google Scholar]
3. Sorensen JL, Jorgensen B, Gottrup F. Surgical treatment of pressure ulcers. Am J Surg. 2004;188:42-51. [PubMed] [Google Scholar]
4. Yamamoto Y, Ohura T, Shintomi T, Sugihara T, Nohira K, Igawa H. Superiority of the fasciocutaneous flap in reconstruction of sacral pressure sores. Ann Plast Surg. 1993;30:116-21. [PubMed] [Google Scholar]
5. Corrine Wong, M.R.C.S. Michel Saint-Cyr, M.D. Ali Mojallal, M.D. Tim Schaub, M.D. Steven H. Bailey, M.D. Simon Myers, Ph.D., F.R.C.S. Spencer Brown, Ph.D. Rod J. Rohrich, M.D (2010), “Perforasomes of the DIEP Flap: Vascular Anatomy of the Lateral versus Medial Row Perforators and Clinical Implications” Volume 125, Number 3 • Perforasomes of the DIEP Flap, Plastic and Reconstructive Surgery • March 2010
6. Feller AM, Galla T (1998), “The deep inferior epigastric perforator free flap”, Clin Plast Surg; 25; 197-206.
7. Kosima I,Soeda S (1989), “Inferior epigastric artery skin flap with out rectus abdominis muscle”, Br J Plast Surg; 42:645-648.
8. W. Bradford Rockwell, Craig A. Hurst, David A. Morton (2006), “The Deep Inferior Epigastric Artery:Anatomy and Applicability as a source of Microvascular Graft”, Plast. Reconst. Surg; 120(1): 209-213.
9. Mark Schaverien, M.R.C.S. Michel Saint-Cyr, M.D. Gary Arbique, Ph.D. Spencer A. Brown, Ph.D (2008). “Arterial and Venous Anatomies of the Deep Inferior Epigastric Perforator and Superficial Inferior Epigastric Artery Flaps.” Plastic and Reconstructive Surgery • June 2008. Volume 121, Number 6 • Anatomy of DIEP and SIEA Flaps