Abstract
The deep inferior epigastric artery perforator (DIEP) flap is an exciting new development in breast reconstruction that is becoming more and more popular. It does reduce abdominal wall donor-site morbidity significantly. Because the blood supply is reduced compared with the standard free transverse rectus abdominis myocutaneous (TRAM) flap, however, it is best limited to nonsmoking patients who do not need more than 65% of the flap to make an adequate breast unless the perforators found at surgery are especially large. For appropriately selected patients, however, the DIEP flap is an excellent choice.
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