Volume 14 No 2 (2022): International Journal of Early Childhood Special Education
An overview of Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction
Mahmoud Elsayed Gouda, Ayman Fikry Mehanna, Yehia Zakaria Awad, Raafat Abdallatif Anani
Keywords: Breast Reconstruction; DIEP flap; Risk Factors
Breast cancer is a major health care problem that affects more than one million women yearly. While it is traditionally thought of as a disease of the industrialized world, around 45% of breast cancer cases and 55% of breast cancer deaths occur in low and middle income countries. Breast reconstruction has evolved greatly during the last 2 decades. It can be autologous breast reconstruction (ABR) or implant based. It can be done immediately post mastectomy or delayed reconstruction or in a 2-stage reconstruction according to the need to post mastectomy radiation therapy (PMRT) called delayed immediate reconstruction. ABR is considered the gold standard for post mastectomy breast reconstruction. Since the illustration of the muscle sparing TRAM and its perforator version deep inferior epigastric artery perforator flap (DIEAP) the autologous techniques for breast reconstruction expanded greatly and many choices are available for the patient after mastectomy for natural aesthetic reconstruction. Enhancing quality of life and obtaining a natural aesthetic result after breast reconstruction are the utmost purpose for every surgeon. Techniques of autologous breast reconstruction are being evolving till the present time to achieve these goals. DIEP flap has been adopted by center of excellence all over the world as the gold standard technique for breast reconstruction. For the sake of better outcomes, multiple perforator DIEP was considered as trial to improve the perfusion of DIEP flap while minimizing the donor site morbidity. This study aimed to review the DIEP flap Breast Reconstruction.
IssueVolume 14 No 2 (2022): International Journal of Early Childhood Special Education
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