The area of transposition of the pedicled deep inferior epigastric perforator (DIEP) flap was assessed in three fresh anatomic specimens. Both horizontal and vertical flap modifications were transposed in anteroposterior and transverse directions as well as in between. The large arc of rotation to the lower thorax, the lateral side of the body, the trochanteric region, upper leg, perineum and contralateral groin enables transposition of viable tissue up to 180° to both sides to areas known to produce reconstructive problems because of lack of sufficient local tissue.
European Journal of Plastic Surgery – Springer Journals
Published: Aug 16, 1999
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