Journal Reviews

Contralateral breast symmetrisation in unilateral DIEP flap breast reconstruction

1 December 2016 | | Breast Surgery | Breast reconstruction, Complications, DIEP, Delayed, Immediate, Symmetrisation

This paper is focused on whether an immediate breast symmetrisation procedure is beneficial when a patient undergoes contralateral breast resection plus an immediate free flap reconstruction for breast cancer. Free abdominal perforator flaps (DIEP) generally offer the highest postoperative satisfaction...

Abdominal problems following breast reconstruction using lower abdominal flaps

8 October 2014 | | Breast Surgery | Abdominal function, Abdominal strength, Breast reconstruction, Complications, DIEP, Free flap, Prospective, Short Form 36

Abdominal problems following transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforators (DIEP) flaps are well recognised in these otherwise excellent methods of breast reconstruction. The authors reviewed 399 patients, of whom 57.7% had surgical complications although most of...

Modifying the DIEP flap in autologous breast reconstruction, introducing a fifth ‘Fleur-de-lis’ zone

1 December 2013 | | Breast Surgery | Breast reconstruction, DIEP, Fleur-de-lis

With current consumer disquiet about silicone implants, more patients may request autologous reconstruction. This can cause difficulties in patients who have undergone massive weight loss. The authors describe an ingenious solution, modifying the deep inferior epigastric perforators (DIEP) flap to...