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The Midline Approach to Bilateral DIEP Flap Elevation: A Paradigm Shift to Improve Postoperative Integrity of the Abdominal Wall.
[BACKGROUND] The goal of optimizing abdominal wall preservation with DIEP flap breast reconstruction has renewed attention to technical refinements. This study introduces 4 novel fascial incision patterns that allow pedicle exposure and dis…
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Umbilical Ablation During Deep Inferior Epigastric Perforator Flap Harvest Decreases Donor Site Complications.
[BACKGROUND] Donor site complications are a significant source of morbidity for patients undergoing abdominal-based free flap breast reconstruction, but there is a paucity of data regarding minimizing these postoperative complications. We h…
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Neoumbilicoplasty With a Pedicled Deep Inferior Epigastric Perforator Island Flap.
Management of the umbilicus is a common dilemma at the time of abdominoplasty and abdominal wall reconstruction. It is not uncommon for underlying pathologies, such as hernias and surgical scars, to result in a disfigured or obliterated nat…