DIEP Flap Breast Reconstruction | Surgery Spotlight-Flap inset and closure of abdomen

Video Transcription

Video Summary

The video details a delayed breast reconstruction using a deep flap. Key steps included careful pedicle re-draping, de-epithelializing the buried flap portion, and closing the anterior rectus sheath while preserving muscle innervation. Drains were placed to prevent fluid buildup. A Bioptics probe monitored tissue oxygenation to ensure flap viability post-op. Recovery involved frequent flap checks and early ambulation, with most patients discharged by day three. Challenges included dissecting radiated internal mammary vessels and navigating perforators through tendinous inscriptions, especially in lateral row dissection affecting motor nerves. Closure involved multi-layer sutures and bio-patches, emphasizing meticulous technique and monitoring for successful reconstruction.

Keywords

delayed breast reconstruction

deep inferior epigastric perforator flap

flap inset and closure

internal mammary vessels

postoperative flap monitoring

deep flap technique

pedicle re-draping

tissue oxygenation monitoring

internal mammary vessel dissection