Reliability of zone IV in the deep inferior epigastric perforator flap: A single center's experience with 74 cases
From March 2000 to June 2002, 74 deep inferior epigastric perforator (DIEP) flaps were performed in 73 female patients for oncological post-mastectomy breast reconstruction in Chang Gung Memorial Hospital. The mean age was 44.2 years and mean body weight was 56.6 kg. Twenty-five breast reconstructio...
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| Veröffentlicht in: | Breast (Edinburgh) 2006-04, Vol.15 (2), p.158-166 |
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| creator | Cheng, M.-H. Robles, J.A. Gozel Ulusal, B. Wei, F.-C. |
| description | From March 2000 to June 2002, 74 deep inferior epigastric perforator (DIEP) flaps were performed in 73 female patients for oncological post-mastectomy breast reconstruction in Chang Gung Memorial Hospital. The mean age was 44.2 years and mean body weight was 56.6
kg. Twenty-five breast reconstructions were immediate and 49 were delayed. The average size of the flap was 30.1×12.0
cm and the mean number of perforators was 2.2. The average weight of the harvested flap was 595
g and 85.6% (mean: 509
g) of the flap was used for shaping the new breast mound. Zone IV was not discarded, except in one case. Total flap failure and donor site morbidity was not encountered. Only one flap was revised due to venous congestion (1.4%) and successfully salvaged. Partial flap loss occurred in two patients (2.7%). Fat necrosis was detected in 10 cases (13.5%) and sizes ranged from 2×2 to 4×5
cm. The numbers of perforators and the percentage of the used flap weight/total flap weight were not related to the complications. The free DIEP flap and inclusion of zone IV is a reliable and valuable method of breast reconstruction and provides superior aesthetic outcomes. |
| doi_str_mv | 10.1016/j.breast.2005.06.006 |
| format | Article |
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kg. Twenty-five breast reconstructions were immediate and 49 were delayed. The average size of the flap was 30.1×12.0
cm and the mean number of perforators was 2.2. The average weight of the harvested flap was 595
g and 85.6% (mean: 509
g) of the flap was used for shaping the new breast mound. Zone IV was not discarded, except in one case. Total flap failure and donor site morbidity was not encountered. Only one flap was revised due to venous congestion (1.4%) and successfully salvaged. Partial flap loss occurred in two patients (2.7%). Fat necrosis was detected in 10 cases (13.5%) and sizes ranged from 2×2 to 4×5
cm. The numbers of perforators and the percentage of the used flap weight/total flap weight were not related to the complications. The free DIEP flap and inclusion of zone IV is a reliable and valuable method of breast reconstruction and provides superior aesthetic outcomes.</description><identifier>ISSN: 0960-9776</identifier><identifier>EISSN: 1532-3080</identifier><identifier>DOI: 10.1016/j.breast.2005.06.006</identifier><identifier>PMID: 16061383</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Abdomen - surgery ; Adult ; Aged ; Breast Neoplasms - epidemiology ; Breast Neoplasms - surgery ; Breast reconstruction ; Deep inferior epigastric perforator flap ; Female ; Humans ; Mammaplasty - methods ; Mammaplasty - statistics & numerical data ; Mastectomy - methods ; Mastectomy - statistics & numerical data ; Medical Records ; Middle Aged ; Reliability ; Retrospective Studies ; Surgical Flaps - statistics & numerical data ; Taiwan - epidemiology ; Treatment Outcome ; Zone IV</subject><ispartof>Breast (Edinburgh), 2006-04, Vol.15 (2), p.158-166</ispartof><rights>2005 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-a1bd09c7c22647f9fe4962828a74072aea5b8c733115956241837f4f8f39656c3</citedby><cites>FETCH-LOGICAL-c360t-a1bd09c7c22647f9fe4962828a74072aea5b8c733115956241837f4f8f39656c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.breast.2005.06.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16061383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, M.-H.</creatorcontrib><creatorcontrib>Robles, J.A.</creatorcontrib><creatorcontrib>Gozel Ulusal, B.</creatorcontrib><creatorcontrib>Wei, F.-C.</creatorcontrib><title>Reliability of zone IV in the deep inferior epigastric perforator flap: A single center's experience with 74 cases</title><title>Breast (Edinburgh)</title><addtitle>Breast</addtitle><description>From March 2000 to June 2002, 74 deep inferior epigastric perforator (DIEP) flaps were performed in 73 female patients for oncological post-mastectomy breast reconstruction in Chang Gung Memorial Hospital. The mean age was 44.2 years and mean body weight was 56.6
kg. Twenty-five breast reconstructions were immediate and 49 were delayed. The average size of the flap was 30.1×12.0
cm and the mean number of perforators was 2.2. The average weight of the harvested flap was 595
g and 85.6% (mean: 509
g) of the flap was used for shaping the new breast mound. Zone IV was not discarded, except in one case. Total flap failure and donor site morbidity was not encountered. Only one flap was revised due to venous congestion (1.4%) and successfully salvaged. Partial flap loss occurred in two patients (2.7%). Fat necrosis was detected in 10 cases (13.5%) and sizes ranged from 2×2 to 4×5
cm. The numbers of perforators and the percentage of the used flap weight/total flap weight were not related to the complications. The free DIEP flap and inclusion of zone IV is a reliable and valuable method of breast reconstruction and provides superior aesthetic outcomes.</description><subject>Abdomen - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - surgery</subject><subject>Breast reconstruction</subject><subject>Deep inferior epigastric perforator flap</subject><subject>Female</subject><subject>Humans</subject><subject>Mammaplasty - methods</subject><subject>Mammaplasty - statistics & numerical data</subject><subject>Mastectomy - methods</subject><subject>Mastectomy - statistics & numerical data</subject><subject>Medical Records</subject><subject>Middle Aged</subject><subject>Reliability</subject><subject>Retrospective Studies</subject><subject>Surgical Flaps - statistics & numerical data</subject><subject>Taiwan - epidemiology</subject><subject>Treatment Outcome</subject><subject>Zone IV</subject><issn>0960-9776</issn><issn>1532-3080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFq3DAQhkVJaLZp36AUndKT3ZFkS1YOgRDSNhAIhLZXIcujRIvXdiVtm-Tpo3QXcutphuH7Z5iPkI8MagZMflnXfUSbcs0B2hpkDSDfkBVrBa8EdHBAVqAlVFopeUTepbQGAC1k95YcMQmSiU6sSLzFMdg-jCE_0tnTp3lCevWLhonme6QD4lJ6jzHMkeIS7srFGBxdMPo52lymfrTLKT2nKUx3I1KHU8b4OVF8KFDAySH9G_I9VQ11NmF6Tw69HRN-2Ndj8vPr5Y-L79X1zberi_PrygkJubKsH0A75TiXjfLaY6Ml73hnVQOKW7Rt3zklBGOtbiVvWCeUb3znhZatdOKYnOz2LnH-vcWUzSYkh-NoJ5y3yUhVOM3bAjY70MU5pYjeLDFsbHw0DMyLa7M2O9fmxbUBaYrrEvu037_tNzi8hvZyC3C2A7B8-SdgNMn98zGEiC6bYQ7_v_AMsh6RYQ</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Cheng, M.-H.</creator><creator>Robles, J.A.</creator><creator>Gozel Ulusal, B.</creator><creator>Wei, F.-C.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>Reliability of zone IV in the deep inferior epigastric perforator flap: A single center's experience with 74 cases</title><author>Cheng, M.-H. ; Robles, J.A. ; Gozel Ulusal, B. ; Wei, F.-C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-a1bd09c7c22647f9fe4962828a74072aea5b8c733115956241837f4f8f39656c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Abdomen - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - surgery</topic><topic>Breast reconstruction</topic><topic>Deep inferior epigastric perforator flap</topic><topic>Female</topic><topic>Humans</topic><topic>Mammaplasty - methods</topic><topic>Mammaplasty - statistics & numerical data</topic><topic>Mastectomy - methods</topic><topic>Mastectomy - statistics & numerical data</topic><topic>Medical Records</topic><topic>Middle Aged</topic><topic>Reliability</topic><topic>Retrospective Studies</topic><topic>Surgical Flaps - statistics & numerical data</topic><topic>Taiwan - epidemiology</topic><topic>Treatment Outcome</topic><topic>Zone IV</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheng, M.-H.</creatorcontrib><creatorcontrib>Robles, J.A.</creatorcontrib><creatorcontrib>Gozel Ulusal, B.</creatorcontrib><creatorcontrib>Wei, F.-C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Breast (Edinburgh)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, M.-H.</au><au>Robles, J.A.</au><au>Gozel Ulusal, B.</au><au>Wei, F.-C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reliability of zone IV in the deep inferior epigastric perforator flap: A single center's experience with 74 cases</atitle><jtitle>Breast (Edinburgh)</jtitle><addtitle>Breast</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>15</volume><issue>2</issue><spage>158</spage><epage>166</epage><pages>158-166</pages><issn>0960-9776</issn><eissn>1532-3080</eissn><abstract>From March 2000 to June 2002, 74 deep inferior epigastric perforator (DIEP) flaps were performed in 73 female patients for oncological post-mastectomy breast reconstruction in Chang Gung Memorial Hospital. The mean age was 44.2 years and mean body weight was 56.6
kg. Twenty-five breast reconstructions were immediate and 49 were delayed. The average size of the flap was 30.1×12.0
cm and the mean number of perforators was 2.2. The average weight of the harvested flap was 595
g and 85.6% (mean: 509
g) of the flap was used for shaping the new breast mound. Zone IV was not discarded, except in one case. Total flap failure and donor site morbidity was not encountered. Only one flap was revised due to venous congestion (1.4%) and successfully salvaged. Partial flap loss occurred in two patients (2.7%). Fat necrosis was detected in 10 cases (13.5%) and sizes ranged from 2×2 to 4×5
cm. The numbers of perforators and the percentage of the used flap weight/total flap weight were not related to the complications. The free DIEP flap and inclusion of zone IV is a reliable and valuable method of breast reconstruction and provides superior aesthetic outcomes.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>16061383</pmid><doi>10.1016/j.breast.2005.06.006</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Abdomen - surgery Adult Aged Breast Neoplasms - epidemiology Breast Neoplasms - surgery Breast reconstruction Deep inferior epigastric perforator flap Female Humans Mammaplasty - methods Mammaplasty - statistics & numerical data Mastectomy - methods Mastectomy - statistics & numerical data Medical Records Middle Aged Reliability Retrospective Studies Surgical Flaps - statistics & numerical data Taiwan - epidemiology Treatment Outcome Zone IV |
| title | Reliability of zone IV in the deep inferior epigastric perforator flap: A single center's experience with 74 cases |
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