title: Sequential bilateral breast reconstruction using a split solitary deep inferior epigastric artery perforator flap.
abstract: Autogenous tissue bilateral breast reconstruction often requires microsurgical tissue transfers. The reality is that sometimes revascularization cannot be accomplished, leading to a total flap failure. If one flap survives, another attempt using a second flap is necessary to achieve symmetry. Nonmicrosurgical options to achieve this are limited. If the successful flap is bulky enough, it can be bisected to create a local island flap based on the original flap pedicle to allow completion of the contralateral reconstruction. This concept is here presented using a split deep inferior epigastric artery perforator flap for sequential bilateral breast reconstruction.
authors: Division of Plastic Surgery, Sacred Heart Hospital, Allentown, PA 18103, USA. gghallock@hotmail.com
authors: Geoffrey G
authors: GG
authors: Hallock
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D019074:Epigastric Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy; D008866:Microsurgery; D008875:Middle Aged; D061525:Perforator Flap / Q000098:blood supply*; D011183:Postoperative Complications / Q000601:surgery; D016896:Treatment Outcome