Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 5 , Pages 524-528 , May 2007

Management of infraumbilical vertical scars in DIEP-flaps by crossover anastomosis

  • Thomas Schoeller

      Affiliations

    • Clinical Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria
    • ,
  • Gottfried Wechselberger

      Affiliations

    • Clinical Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria
    • ,
  • Judith Roger

      Affiliations

    • Clinical Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria
    • ,
  • Heribert Hussl

      Affiliations

    • Clinical Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria
    • ,
  • Georg M. Huemer

      Affiliations

    • Department of Plastic Surgery, Sisters of Mercy Hospital, Seilerstätte 4, 4020 Linz, Austria
    • maz – Mikrochirurgisches Ausbildungs- und Forschungszentrum, Garnisonsstrasse 21, 4020 Linz, Austria
    • Corresponding Author InformationCorresponding author. maz – Mikrochirurgisches, Ausbildungs- und Forschungszentrum, Garnisonsstrasse 21, 4020 Linz, Austria. Tel.: +43 699 10878705; fax: +43 732 77032513.

Received 29 March 2006 ,Accepted 4 November 2006.

References 

  1. Allen RJ, Treece P. Deep inferior epigastric perforator flap for breast reconstruction. Ann Plast Surg. 1994;32:32–38
  2. Wechselberger G, Schoeller T. The transverse myocutaneous gracilis free flap: a valuable tissue source in autologous breast reconstruction. Plast Reconstr Surg. 2004;114:69–73
  3. Holmstrom H. The free abdominoplasty flap and its use in breast reconstruction. An experimental study and clinical case report. Scand J Plast Reconstr Surg. 1979;13:423–427
  4. Hartrampf CR, Scheflan M, Black PW. Breast reconstruction with a transverse abdominal island flap. Plast Reconstr Surg. 1982;69:216–225
  5. Schoeller T, Huemer GM, Kolehmainen M, et al. Management of subcostal scars during DIEP-flap raising. Br J Plast Surg. 2004;57:511–514
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  9. Ohjimi H, Era K, Fujita T, et al. Analyzing the vascular architecture of the free TRAM flap using intraoperative ex vivo angiography. Plast Reconstr Surg. 2005;116:106–113
  10. Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br J Plast Surg. 1987;40:113–141
  11. Boyd JB, Taylor GI, Corlett R. The vascular territories of the superior epigastric and the deep inferior epigastric systems. Plast Reconstr Surg. 1984;73:1–16
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  13. Han S, Sup Eom J, Ho Kim D. Effects of the abdominal midline incision on the survival of the transverse rectus abdominis musculocutaneous flap in rat model. Ann Plast Surg. 2003;50:171–177
  14. Sano K, Hallock GG, Rice DC. A vertical midline scar is a ‘high risk’ factor for maximum survival of the rat TRAM flap. Ann Plast Surg. 2003;51:403–408
  15. Takeishi M, Shaw WW, Ahn CY, et al. TRAM flaps in patients with abdominal scars. Plast Reconstr Surg. 1997;99:713–722
  16. Marck KW, van der Biezen JJ, Dol JA. Internal mammary artery and vein supercharge in TRAM flap breast reconstruction. Microsurgery. 1996;17:371–374
  17. Berrino P, Casabona F, Adami M, et al. The ‘parasite’ TRAM flap for autogenous tissue breast reconstruction in patients with vertical midabdominal scars. Ann Plast Surg. 1999;43:119–126
  18. Ali RS, Garrido A, Ramakrishnan V. Stacked free hemi-DIEP-flaps: a method of autologous breast reconstruction in a patient with midline abdominal scarring. Br J Plast Surg. 2002;55:351–353
  19. Das-Gupta R, Busic V, Begic A. Deep inferior epigastric perforator flap (DIEP) breast reconstruction in the presence of a midline vertical scar. Br J Plast Surg. 2006;59:675–676
  20. Koshima I, Inagawa K, Yamamoto M, et al. New microsurgical breast reconstruction using free paraumbilical perforator adiposal flaps. Plast Reconstr Surg. 2000;106:61–65
  21. Schoeller T, Bauer T, Gurunluoglu R, et al. Modified free paraumbilical perforator flap: the next logical step in breast reconstruction. Plast Reconstr Surg. 2003;111:1093–1098

PII: S1748-6815(06)00581-X

doi: 10.1016/j.bjps.2006.11.008

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 5 , Pages 524-528 , May 2007

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