title: [The abdominal drop flap].
abstract: The skin between the mastectomy scar and the future infra-mammary fold may be managed in different ways in delayed breast reconstruction using a DIEP (deep inferior epigastric perforator). Conserving this skin and positioning the flap skin paddle in the middle of the breast usually highlights skin color disparity because of two visible transition zones. Resection of the entire skin under the scar may be more aesthetic but limits direct closure possibility in case of flap failure. In order to benefit from both aesthetic result and safe surgical method, we propose the abdominal drop flap. The inferior thoracic skin flap is detached from the thoracic wall beyond the future infra-mammary fold, preserved and pushed under the breast.
authors.affiliation: Service de chirurgie plastique et reconstructrice, hôpital Civil, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France. Electronic address: frederic.bodin@chru-strasbourg.fr.
authors.forename: F
authors.initials: F
authors.lastname: Bodin
authors.affiliation: Service de chirurgie de la main, CHU de Strasbourg, 10, avenue Baumann, 67403 Illkirch cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
authors.affiliation: Service de chirurgie plastique et reconstructrice, hôpital Civil, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Seigle-Murandi
authors.affiliation: Service de chirurgie de la main, CHU de Strasbourg, 10, avenue Baumann, 67403 Illkirch cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Service de chirurgie plastique et reconstructrice, hôpital Civil, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Bruant-Rodier
authors.affiliation: Service de chirurgie plastique et reconstructrice, hôpital Civil, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Dissaux
authors.affiliation: Service de chirurgie plastique, reconstructrice et des brûlés, CHU Toulouse-Rangueil, 1, avenue Jean-Poulhès, 31059 Toulouse, France.
authors.forename: B
authors.initials: B
authors.lastname: Chaput
mesh_terms: D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy; D013524:Surgical Flaps; D035441:Thoracic Wall / Q000601:surgery
keywords: Breast cancer; Breast reconstruction; Cancer du sein; Deep inferior epigastric perforator flap; Free flap; Lambeau libre; Reconstruction mammaire