2026-06-28T20:38:46Zhttps://docta.ucm.es/rest/oai/request
oai:docta.ucm.es:20.500.14352/1316232026-02-07T01:21:39Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense author Lasso Vázquez, José María author Sancho, M. author Campo, V. author Jiménez, Elena author Pérez Cano, Rosa 2026-02-06T08:30:25Z 2026-02-06T08:30:25Z 2007-04-21 Lasso JM, Sancho M, Campo V, Jiménez E, Pérez Cano R. Epiperitoneal vessels: more resources to perform DIEP flaps. J Plast Reconstr Aesthet Surg. 2008 Jul;61(7):826-9. doi: 10.1016/j.bjps.2007.03.004 1748-6815 10.1016/j.bjps.2007.03.004 https://hdl.handle.net/20.500.14352/131623 1748-6815 https://doi.org/10.1016/j.bjps.2007.03.004 17446150 https://www.sciencedirect.com/science/article/pii/S1748681507001799https://pubmed.ncbi.nlm.nih.gov/17446150/ The development of the DIEP flap established an accepted concept of reconstructive surgery, but in patients who demonstrate inadequate in vivo flap perfusion, alternative surgical options to improve vascularisation are limited. We present a 42-year-old patient, with a left mastectomy whose breast was reconstructed with a DIEP flap. After anastomosis to the internal mammary vessels there was insufficient arterial perfusion of the flap. The situation was resolved by using an independent medial perforator artery emerging from the peritoneal layer (epiperitoneal vessels). This new pedicle was anastomosed end-to-end to the distal portion of the inferior epigastric artery. We consider that epiperitoneal vessels can be an emergency pedicle when needed and a possible alternative to the main pedicle of the DIEP flap. The development of the DIEP flap established an accepted concept of reconstructive surgery, but in patients who demonstrate inadequate in vivo flap perfusion, alternative surgical options to improve vascularisation are limited. We present a 42-year-old patient, with a left mastectomy whose breast was reconstructed with a DIEP flap. After anastomosis to the internal mammary vessels there was insufficient arterial perfusion of the flap. The situation was resolved by using an independent medial perforator artery emerging from the peritoneal layer (epiperitoneal vessels). This new pedicle was anastomosed end-to-end to the distal portion of the inferior epigastric artery. We consider that epiperitoneal vessels can be an emergency pedicle when needed and a possible alternative to the main pedicle of the DIEP flap. eng Epiperitoneal vessels: more resources to perform DIEP flaps journal article 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URL https://docta.ucm.es/bitstreams/92f1376d-2b0b-4544-b21a-f971759e4718/download File MD5 e3a7a176a175cddbce35aba20c786773 597489 application/pdf Epiperitoneal vessels: more resources to perform DIEP flaps.pdf