Use of the deep inferior epigastric perforator (DIEP) flap is gaining popularity as the method of choice for breast reconstruction and replacement of prosthetic breast implants. Ideally, the volume of the prosthesis is replaced by the same volume of autologous tissue to restore shape and symmetry. Still, intraoperative tissue volumetry is not practical under sterile circumstances. The first step toward a clinical intraoperative measure for volume matching would be to acquire knowledge of the specific density of female subcutaneous abdominal fat tissue. The weight and volume of abdominoplasty specimens from 32 women were measured. From these data, the specific volume of DIEP flap tissue was calculated. The mean specific density was 1.12 mL/g (range, 1.02 to 1.32 mL/g; standard deviation 0.04). An approximate volume-to-weight conversion multiplier of 1.1 may serve as an intraoperative tool to estimate the volume of a DIEP flap from its weight.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1055/s-0029-1243301 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Radiological images of an advanced invasive carcinoma with mucinous aspects: A case report.
Radiol Case Rep
March 2025
Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome, Italy.
Mucinous carcinoma of the breast, also known as colloid carcinoma, is an uncommon type of differentiated adenocarcinoma, representing only 2% of all invasive breast carcinomas. It usually occurs in women ≥ 60 years of age. Mucinous carcinoma is characterized by clusters of epithelial tumour cells suspended in pools of extracellular mucin and is further divided in 2 subgroups, pure and mixed.
View Article and Find Full Text PDFCurrent Practices and Evidence of Aspirin Usage in Microvascular Surgery: A Systematic Review and Meta-Analysis.
Microsurgery
January 2025
Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Background: Acetylsalicylic acid (ASA) has been used in reconstructive microsurgery since the inception of the field. However, when compared to placebo groups, its efficacy is not confirmed. In our study, we hypothesize that the utility of ASA postoperatively in microvascular surgery is not associated with improved outcomes.
View Article and Find Full Text PDFImpact of Norepinephrine Use on Free Flap Survival in Breast Reconstructive Microsurgery.
Microsurgery
January 2025
Service de Chirurgie Plastique et Reconstructrice, Hôpital européen Georges-Pompidou, Paris, France.
Objective: The optimal method for maintaining intraoperative blood pressure during microsurgical procedures remains controversial. While intravenous fluid administration is essential, overfilling can lead to complications. Vasopressor agents are used cautiously due to their vasoconstrictive effects, which could potentially lead to flap failure.
View Article and Find Full Text PDFDIEP flap reconstruction for sacrectomy defects: Two case reports.
Ann Chir Plast Esthet
January 2025
Department of Plastic, Reconstructive and Aesthetic surgery, Hôpital de Hautepierre, Strasbourg University Hospital, 1, avenue Molière, Strasbourg, 67200 cedex, France; ICube, CNRS UMR 7357, MMB, University of Strasbourg, Strasbourg, 67091 cedex, France.
Introduction: Vertical rectus abdominis myocutaneous (VRAM) flap is the most common option for large sacral defect reconstruction but is known to have donor-site abdominal morbidity compared to deep inferior epigastric perforator (DIEP) flaps.
Report: Fifty-seven and 63 year-old men were admitted for large sacral soft tissue defects after tumour excisions. They both underwent an inferiorly based pedicled vertical DIEP flap passed transabdominally with successful postoperative outcomes and not any abdominal wall complication.
Avoiding Chest Wall Morbidity in Outpatient Microvascular Free-Flap Breast Reconstruction.
J Clin Med
January 2025
My Houston Surgeons, 9230 Katy Freeway, Suite 600, Houston, TX 77055, USA.
Removal of the rib and adjacent cartilage is a common step for exposure of the recipient chest vessels in free-flap breast reconstructions. However, this adds both short- and long-term morbidity to the procedure. We describe our experience in avoiding rib removal in microvascular breast reconstruction.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!