Novel use of the superficial inferior epigastric vein lifeboat in DIEP flap harvest

Novel use of the superficial inferior epigastric vein lifeboat in DIEP flap harvest Deep inferior epigastric artery perforator (DIEP) flap reconstruction has become a well-established procedure for breast reconstruction. While vascular compromise is not common, venous congestion is the most commonly reported cause of such compromise, and of those that may require re-exploration, insufficient venous drainage is the most common cause. In such cases, flap salvage may require establishment of a secondary venous outflow source. In a standard unilateral breast reconstruction with a DIEP flap, zone IV is discarded, with the intra-flap segment of the superficial inferior epigastric vein (SIEV) unused. We describe the novel approach of harvesting the SIEV within zone IV and banking within the breast pocket near the contralateral superficial vein should it be required for further salvage surgery. Our approach involves harvest of the SIEV on a side table (which allows simultaneous operating), flushing the graft with heparinized saline, and tagging the proximal end with an 8/0 nylon suture. This vein graft is then transferred and banked at the breast recipient site, near the flap vein where it is likely to be required. This simple step prevents further morbidity of a secondary donor site and reduces operative time should re-exploration be required. Level of Evidence: Level V, therapeutic study European Journal of Plastic Surgery Springer Journals

Novel use of the superficial inferior epigastric vein lifeboat in DIEP flap harvest

Loading next page...
Springer Berlin Heidelberg
Copyright © 2015 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial