Deep Inferior Epigastric Perforator Flap, DIEP

  • He-Ping ZhengEmail author
  • Yong-Qing Xu
  • Jian Lin
  • De-Qing Hu


The deep inferior epigastric perforator flap (DIEP) was first reported by Koshima in 1988. Ever since it was first used for breast reconstruction by Allen in 1994, this flap could also be applied to total tongue reconstruction, repair of defects post midfacial tumor operations and coverage of huge limb soft-tissue defects with bone exposure. As a modified flap based on traditional transverse rectus abdominis musculocutaneous flap (TRAM), DIEP isolated the inferior epigastric vessel and its perforator from rectus abdominis to avoid muscular injury and decrease postoperative complications such as abdominal heria, bulge and weakness in donor sites.


  1. Allen RJ, Treece P. Deep inferior epigastric perforator flap for breast reconstruction. Ann Plast Surg. 1994;32(1):32–8.CrossRefGoogle Scholar
  2. Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg. 1989;42(6):645–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. and People's Medical Publishing House 2019

Authors and Affiliations

  • He-Ping Zheng
    • 1
    Email author
  • Yong-Qing Xu
    • 2
  • Jian Lin
    • 3
  • De-Qing Hu
    • 4
  1. 1.The 900th Hospital of PLAClinical Anatomic CenterFuzhouChina
  2. 2.Orthopaedic DepartmentKunming General Hospital of PLAKunmingChina
  3. 3.Shanghai JiaoTong UniversityXin-hua Hospital (ChongMing)ShanghaiChina
  4. 4.Orthopaedic DepartmentThe First Affiliated Hospital of Fujian Medical UniversityFuzhouChina

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