DIEP Flap Breast Reconstruction | Surgery Spotlight-Microsurgical anastomosis

Video Transcription

Video Summary

The video details a surgical procedure involving microsurgery to perform a deep inferior epigastric perforator (DIEP) flap breast reconstruction. The surgeon exposes internal mammary vessels, noting fibrosis due to prior radiation, and selects suitable veins and arteries for anastomosis. The flap is harvested, pedicle vessels skeletonized, and careful microvascular anastomoses are hand-sewn between the flap and chest vessels. Patency is confirmed with Doppler signals after clamps are released. The flap is then stabilized to the chest wall, ensuring adequate blood flow. The meticulous technique and attention to vessel condition highlight the complexity of microsurgical breast reconstruction.

Keywords

microsurgical procedure

internal mammary vessels

DIEP flap

arterial and venous anastomosis

microvascular surgery

microsurgery

breast reconstruction

microvascular anastomosis