title: Skin-sparing mastectomy and immediate reconstruction with a deep inferior epigastric perforator flap.
abstract: BACKGROUND
  It is important for breast reconstruction after mastectomy to recreate immediately good breast symmetry with an adequate amount of soft tissue.
  
  
  METHODS
  Eight patients with breast cancer underwent skin-sparing mastectomy and immediate reconstruction with a deep inferior epigastric perforator flap. This operative technique, and the results, advantages, and disadvantages of the technique were assessed.
  
  
  RESULTS
  Seven patients had stage IIA disease, and one patient had stage I disease. An arc-shaped incision was made just at the lateral border of the breast in all patients. Three patients had a separate periareolar incision, and one had a circumferential nipple incision. There was 100% flap survival, and good breast symmetry was achieved in all patients. No major perioperative complications occurred in this series. A small amount of fat necrosis occurred in one flap. One patient had slight abdominal bulging. Minor wound-healing problems at the lateral breast skin envelope occurred in two patients.
  
  
  CONCLUSIONS
  These data indicate that skin-sparing mastectomy and immediate reconstruction with a DIEP flap is a reliable and safe technique. This method is a potentially useful surgical technique, which has achieved very promising results.
authors.affiliation: Department of Plastic Surgery, Osaka University Graduate School of Medicine, 2-2,Yamadaoka, Suita, Osaka 565-0871, Japan. knjyano@psurg.med.osaka-u.ac.jp
authors.forename: Kenji
authors.initials: K
authors.lastname: Yano
authors.forename: Ko
authors.initials: K
authors.lastname: Hosokawa
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Nakai
authors.forename: Tateki
authors.initials: T
authors.lastname: Kubo
authors.forename: Ryo
authors.initials: R
authors.lastname: Hattori
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Taguchi
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Tamaki
authors.forename: Shinzaburo
authors.initials: S
authors.lastname: Noguchi
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D013524:Surgical Flaps; D016896:Treatment Outcome