LIPOSUCTION FOR THINNING AND EXPANDING DEEP INFERIOR EPIGASTRIC PERFORATOR FLAP IN RECONSTRUCTION

Hoang Thanh Tuan1, Hoang Tuan Hoang1, Vu Quang Vinh1
1Plastic and Reconstructive Aesthetic Surgery Centre, Le Huu Trac National Burn Hospital

Tóm tắt

Objectives: To evaluate the flap thinning efficiency for expanding the deep inferior epigastric perforator flap. Subjects and methods: A clinical study was conducted on ten patients (two retrospectives and eight prospectives) with a diagnosis of a massive scar on the chin and neck postburn to cover the scars with a “thin” deep inferior epigastric perforator flap at the Plastic and Reconstructive Aesthetic Surgery Centre, Le Huu Trac National Burn Hospital, from April 2021 to December 2022. Results: Females were predominant in our study (60%). The mean age was 35.4 ± 9.536 years. The DIEP flap has an average length of 27.8 ± 2.74 cm, a maximum of 32 cm, an average width of 12.3 ± 2.54 cm, and a maximum of 18 cm. All flaps (10/10) survived ultimately; the IV area was well supplied with blood; the wound healed primarily; the flap was soft; the flap color matched the skin near the defect; and the flap thinness reduced significantly with the reconstructive requirements. Conclusion: The liposuction technique is a safe, initial technique that showed clinical effectiveness in the ability to thin and expand the deep inferior epigastric perforator flap while ensuring the functions and aesthetics of the flap.

Tài liệu tham khảo

Hartrampf C., Scheflan M. and Black P. W. (1982). Breast reconstruction with a transverse abdominal island flap. Plastic and reconstructive surgery; 69 (2): 216-224. Ince B., Yarar S. and Dadaci M. (2019). Simultaneous flap thinning with ultrasound‐assisted liposuction during free flap surgery: Preliminary results. Microsurgery; 39 (2): 144-149. Mathes S. (2014). Classification of the vascular anatomy of muscles: Experimental and clinical correlation 1981. 50 Studies Every Plastic Surgeon Should Know; CRC Press, 57-62. Scheflan M. and Dinner M. I. (1983). The transverse abdominal island flap: part I. Indications, contraindications, results, and complications. Annals of plastic surgery; 10 (1): 24-35. Chirappapha P., Chansoon T., Bureewong S. et al. (2020). Is it reasonable to use indocyanine green fluorescence imaging to determine the border of pedicled TRAM flap zone IV?. Plastic and Reconstructive Surgery Global Open; 8 (9). Phung N.V. (2019). Nghiên cứu sử dụng vạt da nhánh xuyên động mạch thượng vị dưới sâu trong điều trị di chứng phẫu thuật cắt bỏ ung thư vú. Luận án tiến sĩ. Học viện Quân y. Cerón, M. A., Duque, J. L., Verdoy, S. B., et al. (2021). Characterization of the volume and thickness of DIEP flap by CTA image processing, in 2021 XXIII Symposium on Image, Signal Processing and Artificial Vision (STSIVA). Kadle R. L., Cohen J., Kuhn J. F.. et al. (2020). Using DIEP Flap Thickness As a Predictor of Fat Necrosis. Plastic Surgery. (October 16-19, 2020). Hamdi, M. and A. Rebecca (2006). The deep inferior epigastric artery perforator flap (DIEAP) in breast reconstruction. Seminars in plastic surgery; Thieme Medical Publishers, Inc., NewYork, 95-102. Phan T. N., Phạm T. V. D. and Tạ T. H. T. (2021). Clinical anatomy of d.i.e.p flap in breast reconstruction after total mastectomy by cancer. Vietnam Medical Journal; 506 (2).