【摘 要】
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ObjectiveInvestigate the clinical application of free DIEP (deep inferior epigastric perforator, D1EP) flap in the breast reconstruction after breast cancer mastectomy.Methods 12 cases of breast cance
【机 构】
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Department of Plastic & Traumatic of The Central People' s Hospital of Huizhou
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ObjectiveInvestigate the clinical application of free DIEP (deep inferior epigastric perforator, D1EP) flap in the breast reconstruction after breast cancer mastectomy.Methods 12 cases of breast cancer who were treated with radical or modified radical mastectomy operate immediate or delayed breast reconstruction using DIEP flap, including 9 cases of breast cancer stage Ⅰ, 3 cases of stage Ⅱ.Resultsl cases had partial flap necrosis, 1 cases had flap fat liquefaction, healed after dressing changes, the rest of the flaps were all survived, the shape of the breast were satisfied with good elasticity, no flap contracture deformation, no abdominal hernia or wall bulge.11 cases were followed up by average 2.2 (1 ~ 3) years, results were satisfactory, no cases of recurrent breast cancer.ConclusionBreast cancer operate immediate or delayed breast reconstruction using DIEP flap have good blood supply,satisfactory breast appearance, lower abdominal donor site complications and can do the abdominoplasty at the same time, is one of the ideal method for breast reconstruction after breast cancer surgery.And the radiotherapy or chemotherapy does not affect the survival of the flap.
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