Abstract
IntroductionBreast cancer is the most frequent neoplasia affecting women worldwide. After mastectomy for breast cancer, autologous tissue breast reconstruction offers better long-term results. The use of abdominal free flaps has shown to be an adequate option. AimWe report a series of cases of deep inferior epigastric perforator flap (DIEP flap) and superficial inferior epigastric artery flap reconstructions. Patients and methodsWe describe 21 patients with breast reconstruction using DIEP flap and 3 cases of SIEA flap in CLC between 2007 and 2012. Results24 patients underwent the procedure with an age range of 48 to 60 years; 18 patients underwent a unilateral reconstruction and 3 patients bilateral reconstructions with DIEP flaps; 3 patients underwent unilateral breast reconstruction with SIEA flap. Mean operative time was 6,5h and mean hospitalization was 6 days. In one bilateral reconstruction the left flap was lost, which required a second free flap reconstruction. DiscussionIn our experience, microvascular breast reconstruction using perforator flaps has a low morbidity. As described in the literature, this is a valid alternative in selected patients.
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