Free deep inferior epigastric perforator flap after abdominal liposuction:reconsidering a contraindication

作     者：Peter James Mankowski Jonathan Kanevsky Anne‑Sophie Lessard Teanoosh Zadeh 

作者机构：Division of Plastic and Reconstructive SurgeryMcGill University Health CentreMontrealQuebec H3G 1B3Canada 

出 版 物：《Plastic and Aesthetic Research》 (整形与美容研究（英文版）)

年 卷 期：2015年第2卷第1期

页      面：311-314页

学科分类：1001[医学-基础医学(可授医学、理学学位)] 10[医学] 

主　　题：Breast reconstruction deep inferior epigastric perforator flap liposuction 

摘      要：Autologous breast reconstruction with perforators has been previously avoided in tissues that have undergone *** present a case series and literature review of breast reconstruction with deep inferior epigastric perforator(DIEP)flaps after abdominal wall *** MEDLINE search was performed for all relevant articles describing breast reconstruction with DIEP flap technique following the abdominal wall *** search words used included“DIEP,“DIEAP,“deep inferior epigastric perforator,“liposuctionand“free flap.All published data on the topic from 1965 to December 2014 were *** were assessed for reports of clinical cases,complications,age,liposuction amount,time since liposuction and number of perforators for *** have also presented 2 patients who underwent a DIEP procedure with a previous history of *** cases of autologous breast reconstruction using a DIEP flap after liposuction were identified in the literature in addition to the presented *** preoperative and postoperative course was uneventful in all cases except one patient who had a mild cellulitis managed with antibiotics and a second patient with a drainable *** average age was 52 years±6.4 years old,one perforator was used in all cases except one where 2 were used,and the average amount of total liposuction was 1,084 *** major complications were *** liposuction is not an absolute contraindication for free-flap breast *** management should include evaluation of suitable perforators by duplex ultrasound or computed tomography *** case series are needed to better understand the safety of perforator flaps after liposuction.