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Review
. 2017 Jan;44(1):109-115.
doi: 10.1016/j.cps.2016.09.002.

Pre-expanded Deep Inferior Epigastric Perforator Flap

Affiliations
Review

Pre-expanded Deep Inferior Epigastric Perforator Flap

Sharon E Monsivais et al. Clin Plast Surg. 2017 Jan.

Abstract

The deep inferior epigastric perforator (DIEP) flap can be used to cover large defects of the proximal lower extremity, abdominal wall, perineum, vulva, and buttock. Pre-expanding DIEP flaps cause a possible delay phenomenon improving vascularity, decrease donor site morbidity, and increase the area that can be covered. Pre-expansion requires staged procedures, has risk of extrusion and infection, causes temporary contour deformity during the expansion process, and requires a longer course. Pre-expanded DIEP flaps can be a useful flap with proper patient selection and planning.

Keywords: DIEP; Deep inferior epigastric perforator flap; Pre-expansion; Tissue expansion.

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