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Correspondence and communication| Volume 65, ISSUE 11, e318-e319, November 2012

A DIEP perforator with a twist!

  • H.J. Sheikh
    Affiliations
    St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital,Broomfield, Chelmsford CM1 7ET, United Kingdom14 Haddington Close, Milton Keynes MK3 7TD, United Kingdom
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  • C. Healy
    Affiliations
    St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital,Broomfield, Chelmsford CM1 7ET, United Kingdom14 Haddington Close, Milton Keynes MK3 7TD, United Kingdom
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  • V. Ramakrishnan
    Affiliations
    St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital,Broomfield, Chelmsford CM1 7ET, United Kingdom14 Haddington Close, Milton Keynes MK3 7TD, United Kingdom
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      Since its first use by Allen in 1994,
      • Allen R.J.
      • Treece P.
      Deep inferior epigastric perforator flap for breast reconstruction.
      the DIEP flap has become the gold standard in breast reconstruction. The vascular anatomy of the deep inferior epigastric vessel perforators and their variations has been studied and described at length.
      • Schaverien M.
      • Saint-Cyr M.
      • Arbique G.
      • Brown S.A.
      Arterial and venous anatomies of the deep inferior epigastric perforator and superficial inferior epigastric artery flaps.
      • Bailey S.H.
      • Saint-Cyr M.
      • Wong C.
      • et al.
      The single dominant medial row perforator DIEP flap in breast reconstruction: three-dimensional perforasome and clinical results.
      • Rozen W.M.
      • Ashton M.W.
      • Grinsell D.
      The branching pattern of the deep inferior epigastric artery revisited in-vivo: a new classification based on CT angiography.
      • Rozen W.M.
      • Murray A.C.
      • Ashton M.W.
      • et al.
      The cutaneous course of deep inferior epigastric perforators: implications for flap thinning.
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      References

        • Allen R.J.
        • Treece P.
        Deep inferior epigastric perforator flap for breast reconstruction.
        Ann Plast Surg. 1994 Jan; 32: 32-38
        • Schaverien M.
        • Saint-Cyr M.
        • Arbique G.
        • Brown S.A.
        Arterial and venous anatomies of the deep inferior epigastric perforator and superficial inferior epigastric artery flaps.
        Plast Reconstr Surg. 2008 Jun; 121: 1909-1919
        • Bailey S.H.
        • Saint-Cyr M.
        • Wong C.
        • et al.
        The single dominant medial row perforator DIEP flap in breast reconstruction: three-dimensional perforasome and clinical results.
        Plast Reconstr Surg. 2010 Sep; 126: 739-751
        • Rozen W.M.
        • Ashton M.W.
        • Grinsell D.
        The branching pattern of the deep inferior epigastric artery revisited in-vivo: a new classification based on CT angiography.
        Clin Anat. 2010 Jan; 23: 87-92
        • Rozen W.M.
        • Murray A.C.
        • Ashton M.W.
        • et al.
        The cutaneous course of deep inferior epigastric perforators: implications for flap thinning.
        J Plast Reconstr Aesthet Surg. 2009 Aug; 62 (Epub 2008 Jun 6): 986-990