Abstract
The deep inferior epigastric perforator flap (DIEP) was first reported by Koshima in 1988. Ever since it was first used for breast reconstruction by Allen in 1994, this flap could also be applied to total tongue reconstruction, repair of defects post midfacial tumor operations and coverage of huge limb soft-tissue defects with bone exposure. As a modified flap based on traditional transverse rectus abdominis musculocutaneous flap (TRAM), DIEP isolated the inferior epigastric vessel and its perforator from rectus abdominis to avoid muscular injury and decrease postoperative complications such as abdominal heria, bulge and weakness in donor sites.
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References
Allen RJ, Treece P. Deep inferior epigastric perforator flap for breast reconstruction. Ann Plast Surg. 1994;32(1):32–8.
Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg. 1989;42(6):645–8.
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© 2019 Springer Nature Singapore Pte Ltd. and People's Medical Publishing House
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Zheng, HP., Xu, YQ., Lin, J., Hu, DQ. (2019). Deep Inferior Epigastric Perforator Flap, DIEP. In: Atlas of Perforator Flap and Wound Healing. Springer, Singapore. https://doi.org/10.1007/978-981-13-1553-4_10
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DOI: https://doi.org/10.1007/978-981-13-1553-4_10
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