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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

CONEJERO, J. Alejandro; BENITEZ S, Susana; GURIDI G, Rodrigo  y  ARRIAGADA I, Cristián. Use of perforator flaps from the lower abdomen (DIEP and SIEA) for breast reconstruction. Rev Chil Cir [online]. 2016, vol.68, n.6, pp.440-445. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2016.05.005.

Introduction: Breast cancer is the most frequent neoplasia affecting women worldwide. After mastectomy for breast cancer, autologous tissue breast reconstruction offers better long-term results. The use of abdominal free flaps has shown to be an adequate option. Aim: We report a series of cases of deep inferior epigastric perforator flap (DIEP flap) and superficial inferior epigastric artery flap reconstructions. Patients and methods: We describe 21 patients with breast reconstruction using DIEP flap and 3 cases of SIEA flap in CLC between 2007 and 2012. Results: 24 patients underwent the procedure with an age range of 48 to 60 years; 18 patients underwent a unilateral reconstruction and 3 patients bilateral reconstructions with DIEP flaps; 3 patients underwent unilateral breast reconstruction with SIEA flap. Mean operative time was 6,5 h and mean hospitalization was 6 days. In one bilateral reconstruction the left flap was lost, which required a second free flap reconstruction. Discussion: In our experience, microvascular breast reconstruction using perforator flaps has a low morbidity. As described in the literature, this is a valid alternative in selected patients.

Palabras clave : Breast reconstruction; Free flap; DIEP; SIEA.

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