Late-onset Total Necrosis in Deep Inferior Epigastric Perforator Flap after Contrast Enhanced Computed Tomography.

There seems to be an incessant debate regarding the duration of dependency of free flaps on pedicle vessels and the extent to which neovascularization from surrounding tissue contributes to the fortification of the free flaps. Although animal studies have suggested that pedicle vessels can be safely divided 5-8 days postoperatively without flap failure in fasciocutaneous flaps, recent clinical reports, particularly concerning the deep inferior epigastric perforator (DIEP) flap, cast doubt on this assumption. This report highlights a singular case of delayed-onset total necrosis in a DIEP flap following a contrast enhanced computed tomography (CECT) scan conducted 48 days post reconstructive surgery.

[Local Control of Advanced Breast Cancer with Giant Ulcer].

This study reports the treatment and local control of advanced breast cancer with a giant ulcer. A 53-year-old woman presented with a large left breast tumor and an associated giant ulcer, with massive exudates, bleeding, and an offensive odor. Histopathological examination revealed an invasive ductal carcinoma(Luminal B type).

Exposure of a microvascular anastomotic coupler in head and neck reconstruction: a case report.

Objective: We present a case of exposure of a microvascular anastomotic coupler.

Methods: We performed venous anastomoses using microvascular anastomotic couplers in head and neck reconstruction.

Results: A microvascular anastomotic coupler was exposed in the seventh month postoperation, and an anastomosed vein was disrupted.