Surgery Spotlight: DIEP Flap Breast Reconstruction
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Video Summary
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In this video, Maurice Nahabedian, MD performs a delayed left breast reconstruction using a deep inferior epigastric perforator (DIEP) flap reconstruction on a 43-year-old woman who has had prior radiation therapy. DIEP flaps are frequently chosen for autologous reconstruction because they can be harvested with no muscle and minimal fascial sacrifice. In this video, observe how Dr. Nahabedian marks the surgical site and begins his dissection. Once the internal mammary artery and vein are exposed, and the DIEP flap has been elevated watch Dr. Nahabedian's microsurgery technique as the new breast is reconstructed.
Surgeon Maurice Nahabedian, MD
Disclosure Dr. Nahabedian is a speaker for LifeCell Corporation/KCI. Dr. Shestak has nothing to disclose. Dr. Aly is a consultant, speaker and advisor for Ethicon/J&J; receives research support from Ethicon/J&J; is an advisor for Angiotech Pharamceuticals; is an advisor for and a shareholder with Incisive Surgical Inc.; and receives royalties from QMP. All ASPS staff members managing this activity have no relevant financial relationships or affiliations to disclose. All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials. This product is not certified for  CME.
Keywords
surgery spotlight
Surgical Videos
Breast
Maurice Nahabedian MD; Memben
Maurice Nahabedian
Georgetown University Hospital
delayed breast reconstruction
left mastectomy
radiation therapy
DIEP flap
internal mammary vessels
perforator vessels
electrocautery
radiation-induced fibrosis
muscle preservation
postoperative care

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