Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Similares en SciELO
Compartir
Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
PARRA, Miguel de la; REYES, Eddye y RANGEL-FLORES, Jesús M.. DIEP flap as a first option for breast reconstruction in Mexican patients with previous abdominal scars. Cir. cir. [online]. 2019, vol.87, n.1, pp.53-58. Epub 29-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.18000422.
Introduction:
For many years the abdominal region has been a reliable donor of abundant well-perfused tissue. The subdermal plexus constitutes an intricate network of microvessels that comprise the entire abdominal skin and allow for innumerable and redundant connections.
Method:
Using a retrospective cohort study, we considered the first 100 deep inferior epigastric perforator (DIEP) flaps performed for breast reconstruction in the High Specialty Medical Department #21 of the Mexican Institute of Social Security in Monterrey, Nuevo Leon, Mexico, from January 2010 until December 2015.
Results:
Of the 100 patients studied, 70 (70%) correspond to the group with abdominal scars and 30 (30%) to the group with no abdominal scars. Of the total patients, only one case of flap necrosis arose secondary to venous thrombosis (1%). This patient had no abdominal scars. The success of the flap was compared between groups using the Fisher exact test, obtaining p = 0.717.
Conclusion:
Abdominal scars do not represent a contraindication for breast reconstruction with DIEP flap even if perforator detection is performed only with hand held 8 MHz doppler.
Palabras llave : Free flap; Breast reconstruction; Abdominal scars.