What is Diep protocol?
What is Diep protocol?
DIEP (deep inferior epigastric perforators) flap surgery is a cutting-edge breast reconstruction procedure that uses a flap of complete tissue – blood vessels (perforators), skin and fat – from a woman’s lower abdomen as donor tissue.
What is DIEP flap 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 are the phases of breast reconstruction?
The breast is usually reshaped in two stages, or surgeries. During the first stage, a tissue expander is used. An implant is placed during the second stage. Sometimes, the implant is inserted in the first stage.
How many phases does DIEP flap surgery have?
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.
How long are drains in after DIEP flap?
A person will have three to four surgical drains in place after their discharge from the hospital. The drains can help prevent the tissue from becoming swollen and will usually stay in the body for 1–2 weeks.
Do you need expanders for DIEP flap?
If you’re a candidate for a DIEP flap, you may have reconstructive breast surgery at the time of your mastectomy or months to many years later. More and more women are opting to have immediate breast reconstructive surgery. In some cases you will need a tissue expander to make room for the new tissue.
What are spacers in breast reconstruction?
Tissue expanders are used after a mastectomy to increase the amount of tissue doctors have to work with when they’re recreating or implanting a breast. They may be placed during a mastectomy or in a second surgery after you’ve healed and finished cancer treatment.
How long does it take for DIEP flap to heal?
It can take about 6 to 8 weeks to recover from DIEP flap reconstruction surgery. Your doctor may recommend that you wear a compression girdle for up to 8 weeks after surgery.
How long do drains stay in after DIEP flap?
Surgical drains The drains can help prevent the tissue from becoming swollen and will usually stay in the body for 1–2 weeks.
When do you get the DIEP flap procedure done?
This expander will preserve the shape of your breast during chemotherapy and radiation treatment. Your DIEP flap procedure can be performed four to six months after radiation is complete. If you had a tissue expander placed during your mastectomy, it will be removed at the time of your breast reconstruction surgery.
How does a deep inferior perforator ( DIEP ) flap work?
A newer procedure, deep inferior epigastric perforator (DIEP) flap, is similar to an msTRAM flap, but only skin and fat are removed. Most of the abdominal muscle is left in place and minimal muscle tissue is taken to form the new breast mound. Reattaching blood vessels requires expertise in surgery through a microscope (microsurgery).
What kind of tissue is used for DIEP flap?
The abdominal tissue used in the DIEP flap is outlined in blue. Tissue from the abdomen, outlined in blue in the illustration above, is used to reconstruct the breast. After this tissue is transplanted to reconstruct the breast, a tummy tuck is performed. The tissue used for DIEP breast reconstruction contains skin, fat and blood vessels.
Which is better TRAM flap or DIEP flap breast reconstruction?
While DIEP flap breast reconstruction is popular because it doesn’t move or cut muscle (which usually means a shorter recovery time than a TRAM flap), a DIEP flap isn’t for everyone.
