What is a Siea flap?
What is a Siea flap?
The SIEA flap is named for the superficial inferior epigastric artery blood vessel that runs just under your skin in your lower abdomen. It’s also called a SIEP flap (superficial inferior epigastric perforator).
How long does it take to heal from flap surgery?
You will need to follow the following guidelines until your incisions completely heal. This is usually 6 weeks after your surgery. Your doctor will tell you how long to follow these guidelines for. Keep your surgical sites out of the sun.
What is Diep procedure?
A DIEP (pronounced like deep) flap is a type of reconstruction that uses a woman’s own tissue to create a new breast after a mastectomy. The surgery’s tongue-twister of a name comes from the branches of the primary blood vessel relocated during the procedure, the deep inferior epigastric perforator (DIEP).
What is abdominal flap called?
There are two main types of abdominal flaps: a free transverse rectus abdominis myocutaneous (TRAM) flap and a newer type called a free deep inferior epigastric perforator (DIEP) flap. These flaps are called free flaps because the flap is cut completely away from the blood supply in the abdomen.
What is superficial inferior epigastric artery flap?
The superficial inferior epigastric artery (SIEA) flap allows for harvest of the lower abdominal fatty tissue based on the superficial inferior epigastric system. Occasionally, the flow from the superficial system may be more robust than that of the deep inferior epigastric system.
Does flap surgery hurt?
Most patients experience some discomfort after a flap procedure. Depending on your needs, we may prescribe pain medication or recommend over-the-counter medicine. It is important to relax after surgery, as strenuous activity may cause the treated area to bleed.
How much does flap surgery cost?
This procedure typically costs between $1000 and $3000 without insurance. After surgery, you may experience swelling for about 24 to 48 hours.
Is DIEP flap major surgery?
A DIEP flap reconstruction is a major surgery that takes place under general anesthesia. Your surgeon will begin by making an incision across your lower abdomen. Then, they will loosen and remove a flap of skin, fat, and blood vessels from your abdomen.
What is Phase 2 of DIEP flap?
DIEP flap breast reconstruction is typically comprised of at least two stages for the best outcomes. The second stage of surgery is commonly referred to as the “revision” stage and is usually performed about three months after the initial reconstruction.
What are the types of flap?
Flaps are of two main types, free flaps and pedicled flaps.
- Free flap: The flap with its blood vessel is disconnected and then attached to a blood vessel at a recipient site.
- Pedicled flap: Flap that has its blood supply with at least one artery and one vein.
Who can do a flap surgery?
Surgery Overview A flap procedure cleans the roots of a tooth and repairs bone damage caused by gum disease. A gum specialist (periodontist) or an oral surgeon often performs the procedure. Before the procedure, you will be given a local anesthetic to numb (freeze) the area where the doctor will work on your gums.
Where does the superficial epigastric vein drain?
The superficial epigastric vein runs upward and medially and drains the skin up to the umbilicus. The superficial external pudendal veins run medially then pass in front of the spermatic cord and drain the skin of the external genitalia and the adjoining part of the lower abdominal wall.
What do you need to know about the SIEA flap?
During surgery, the surgeon will look at the blood vessels that can provide source blood to the flap — the SIEA flap vessels and the DIEP flap vessels. The set of vessels that provides the strongest blood flow to the flap determines whether the surgeon performs a SIEA flap or DIEP flap.
How is the SIEA microsurgical flap breast reconstruction done?
SIEA microsurgical flap breast reconstruction. The superficial inferior epigastric artery flap (SIEA) reconstruction is performed with soft tissue from the abdomen including skin and fat, but does not require any dissection of muscle in the abdominal wall. In theory, this flap should be even less prone to hernia formation than the DIEP,…
Can a surgeon do a Diep or SIEA flap?
The set of vessels that provides the strongest blood flow to the flap determines whether the surgeon performs a SIEA flap or DIEP flap. Because the SIEA flap procedure requires special surgical training and expertise in microsurgery, not all surgeons can do an SIEA flap and it’s not available at all hospitals.
What kind of tissue is used for SIEA?
The superficial inferior epigastric artery flap (SIEA) reconstruction is performed with soft tissue from the abdomen including skin and fat, but does not require any dissection of muscle in the abdominal wall.
