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The use of lower abdominal perforator flaps in soft‐tissue reconstruction after sarcoma resection
Author(s) -
Miyamoto Shimpei,
Arikawa Masaki,
Kagaya Yu
Publication year - 2020
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.30539
Subject(s) - medicine , diep flap , perforator flaps , surgery , seroma , breast reconstruction , sarcoma , soft tissue sarcoma , rectus abdominis muscle , free flap , abdominal wall , soft tissue , complication , breast cancer , cancer , pathology
Abstract Background Historically, conventional musculocutaneous flaps have been commonly used for reconstruction after soft tissue sarcoma resection, and the use of lower abdominal perforator flaps has not been popular. This report examined the current role of lower abdominal perforator flaps in sarcoma treatment. Methods We reviewed the outcomes of 14 patients (mean age: 46.3 years, range: 18–79 years) who underwent immediate reconstruction with a deep inferior epigastric artery perforator (DIEP) flap or a superficial inferior epigastric artery (SIEA) flap after sarcoma resection. The defects ranged in size from 7 × 6 cm 2 to 25 × 22 cm 2 (mean: 16.5 × 12.1 cm 2 ). An oblique design was used for pedicled DIEP flaps and a transverse design for free DIEP flaps. Results Free SIEA flaps were used in six patients, pedicled DIEP flaps in five, and free DIEP flaps in three. The flaps ranged in size from 13 × 8 cm 2 to 36 × 12.5 cm 2 (mean: 23.1 × 9.2 cm 2 ). All DIEP flaps except one were harvested based on one dominant perforator. All flaps survived without vascular compromise. Surgical site infection and seroma occurred at the recipient site in one patient each. No donor‐site complications occurred. Conclusions Lower abdominal perforator flaps can serve as a versatile donor site for reconstruction after sarcoma resection.