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Superficial Inferior Epigastric Artery Flap in Breast Reconstruction

  • Edward I. ChangEmail author
Chapter
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Abstract

Autologous breast reconstruction is considered by many to be the most optimal means of reconstruction both in terms of patient satisfaction and reconstructing the breast with the most natural feel and appearance that remains durable with time. The abdomen remains the most popular donor site; however, the abdominal tissue can be harvested in a number of different ways. A traditional full muscle transverse rectus abdominus myocutaneous (TRAM) flap can be harvested both as a pedicle and a free flap but sacrifices the entire muscle. Variations on the theme have evolved to preserve as much of the muscle as possible in order to limit the donor site morbidity. The muscle-sparing TRAM and the deep inferior epigastric perforator (DIEP) flaps are based on the deep inferior epigastric vessels with variable amounts of muscle and fascia preservation. However, the superficial inferior epigastric artery (SIEA) flap is yet another modification that does not violate the muscle or fascia at all and is based off the superficial system. The SIEA flap has distinct advantages and disadvantages compared to flaps based off the deep inferior epigastric pedicle, but remains a reasonable and viable option for autologous free flap breast reconstruction in the properly selected patient.

Keywords

Free flap breast reconstruction Superficial inferior epigastric artery flap 

Supplementary material

Video 20.1

The superficial inferior epigastric artery (SIEA) flap harvest (MP4 307215 kb)

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryUniversity of Texas MD Anderson Cancer CenterHoustonUSA

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