ePlasty: Vol. 14
DIEP breast reconstruction following multiple abdominal liposuction procedures
Mohammed Farid, Core Surgery Trainee, Simon Nicholson, Specialist Registrar in Plastic Surgery, Ashutosh Kotwal, Consultant Plastic and Reconstructive Surgeon, and Augustine Akali, Consultant Plastic and Reconstructive Surgeon

Department of Plastic Surgery, Hull and East Yorkshire NHS Trust, Hull, United Kingdom

Correspondence: mohammed.farid@gmail.com
Keywords: liposuction, DIEP, free flap, breast reconstruction, angiography

Objective: Previous abdominal wall surgery is viewed as a contraindication to abdominal free tissue transfer. We present two patients who underwent multiple abdominal liposuction procedures, followed by successful free deep inferior epigastric artery perforator flap. We review the literature pertaining to reliability of abdominal free flaps in those with previous abdominal surgery. Methods: Review of case notes and radiological investigations of two patients, and a PubMed search using the terms “DIEP”, “deep inferior epigastric”, “TRAM”, “transverse rectus abdominis”, “perforator” and “laparotomy”, “abdominal wall”, “liposuction”, “liposculpture”, &# .......