Beyond the DIEP Flap: Thigh-Based Autologous Breast Reconstruction | Journal CME Article-Journal CME Article::Beyond the DIEP Flap: Thigh-Based Autologous Breast Reconstruction (Video 1 of 1)

Journal CME Article::Beyond the DIEP Flap: Thigh-Based Autologous Breast Reconstruction (Video 1 of 1)

Video Transcription

Video Summary

The video demonstrates how to identify profunda artery perforators during dissection. After an anterior incision and dissection to the gracilis muscle, the surgeon works in a subfascial plane, moving posteriorly to locate the perforator. The vessel may travel through the adductor magnus muscle or in the septum between the adductor magnus and gracilis. A perforator matching the preoperative Doppler signal is identified, and dissection continues to isolate it and trace its path through the adductor magnus muscle.

Keywords

profunda artery perforator

adductor magnus

gracilis muscle

subfascial dissection

Doppler signal