Scientific publications

Easy venous superdrainage in DIEP flap breast reconstruction through the intercostal branch

Emilio Garcia Tutor (1), Cristina Auba (1), Alberto Benito [SP] (2), Gregorio Rábago (3), Willy Kreutler (4)
(1) Department of Reparative and Aesthetic Plastic Surgery, University Clinic, University of Navarra, Pamplona, Spain
(2) Department of Radiology, University Clinic, University of Navarra, Pamplona, Spain
(3) Department of Cardiovascular Surgery, University Clinic, University of Navarra, Pamplona, Spain
(4) Visiting Medical Student, Universidad de la Sabana, Bogota, Colombia

Magazine: Thieme eJournals

Date: Oct 1, 2002

Radiology [SP] Cardiac Surgery [SP] Breast Cancer Area

The deep inferior epigastric perforator (DIEP) flap has been shown to be a valid option for breast reconstruction, as it has certain advantages over the free TRAM flap, including lower morbidity in the donor area, conservation of abdominal wall function, and reduced postoperative pain.

However, some cases of venous congestion in using the DIEP flap have been described. The authors present a case in which the venous return in a DIEP flap objectively (by measurement with a flux meter) presented a marked improvement (from 4 ml/min to 13.9 ml/min) after venous drainage was increased by means of the supplementary anastomosis of a comitant vein from the deep inferior epigastric pedicle to the intercostal branch of the internal mammary vein.

The preservation of this branch is a simple and effective technique to improve the venous drainage of DIEP flaps, whether signs of congestion are present or not.

CITATION  J Reconstr Microsurg. 2002 Oct;18(7):595-8

you mayBE INTERESTED

WHAT TECHNOLOGY
DO WE USE?

The Clínica is the greater private hospital with technological equipment of Spain, all in a single center.

Imagen de un PET, tecnología de vanguardia en la Clínica Universidad de Navarra

OUR
PROFESSIONALS

The professionals of the Clínica perform continuous research and training, always to the benefit of the patient.

Imagen profesionales de la Clínica Universidad de Navarra

WHY CHOOSE
THE CLINICA?

Learn why we are different from other healthcare centers. Quality, speed, comfort and results.

Imagen del edificio de la Clínica Universidad de Navarra