Abstract
Introduction
Free flaps require mastering microsurgical technique. In addition, breast reconstruction
implies accuracy not only in flap survival, but also satisfying aesthetic outcome.
Thus, such complex abilities can be acquired by creating experimental models for surgical
training.
Materials and Methods
In accordance with relevant anatomy data found in literature, we chose a porcine model
and performed a flap similar to the human deep inferior epigastric perforator (DIEP).
Furthermore we developed a surgical protocol for a free flap transfer similar to a
double-pedicle DIEP flap. The adipo-cutaneous flap was harvested as a free flap based
on the superior abdominal vascularization and microsurgical anastomoses were performed
to both the internal thoracic and thoracodorsal vessels.
Results
We were able to harvest a superior epigastric double-perforator free flap with increased
similarity to the human DIEP flap. Microsurgical anastomoses were possible to both
to the internal thoracic vessels and thoracodorsal vessels, which both proved to have
optimal caliber for termino-terminal anastomosis.
Conclusion
Although there are several differences when comparing a swine experimental model with
human anatomy, our protocol enhances the possibilities for training in breast reconstruction.
Keywords
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Article info
Publication history
Published online: October 22, 2019
Footnotes
This paper is part of a Supplement supported by the European Federation of Societies of Microsurgery (EFSM) and the Serbian Society for Reconstructive Microsurgery (SSRM).
Identification
Copyright
© 2019 Published by Elsevier Ltd.
