ePlasty: Vol. 12
Case Report and Review of the Literature: Deep Inferior Epigastric Perforator Flap for Breast Reconstruction After Abdominal Recontouring
Jonathan Bank, MD,a Lucio A. Pavone, MD,b Iris A. Seitz, MD, PhD,b Michelle C. Roughton, MD,b and Loren S. Schechter, MDb

aSection of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, IL; and bUniversity Plastic Surgery, LLC, Morton Grove, IL

Correspondence: lss@univplastics.com

Objective: The report herein presents a case of a 49-year-old woman with left breast cancer who presented seeking immediate autologous reconstruction. Surgical history included an abdominal hysterectomy and an abdominal contouring procedure. This is a first description of a deep inferior epigastric perforator flap after abdominal wall manipulation of this magnitude. Methods: Computed tomographic angiography identified patent medial row perforators. Doppler confirmed the location of the perforators. The flap was designed with the inferior incision at the previous lower abdominal scar. Laser-assisted indocyanine green imaging confirmed adequate flap perfusion on the basis of a single left deep inferior epigastric perforator. Results: The flap was harvested on one perforator and anastomosed to the inter .......