Deep Inferior Epigastric Perforator Flap Breast Reconstruction in a Patient with Huge Uterine Leiomyoma

Abstract

The deep inferior epigastric perforator (DIEP) flap has long been the gold standard for autologous breast reconstruction. Various factors that can disrupt abdominal wall vascular anatomy make dissection of the DIEP flap a technically demanding procedure. The mass effect from a huge uterine leiomyoma has not been previously reported as a factor influencing abdominal wall vascularity. The aim of this report was to describe the case of a patient with a huge uterine leiomyoma who underwent immediate free DIEP flap breast reconstruction without any major complications. Keywords: Free tissue flaps, Leiomyoma, Mammaplasty, Microsurgery, Perforator flap