Journal of Aesthetic & Reconstructive Surgery

Venous Congestion Resolution in DIEP Flaps with Pedicle Division and Use of Cephalic Vein, Report of 2 Cases

Background: Autologous Deep Inferior Epigastric Perforator (DIEP) breast reconstruction is a widely used method. Venous congestion is one of the most commonly reported complications. Our objective is to describe and analyze strategies for the therapeutic approach in situations of venous congestion in DIEP flaps.

Methods: We describe the surgical technique of two DIEP flap breast reconstruction cases in which venous congestion was presented as a late complication. Division pedicle strategy and use of cephalic vein as a receptor site for venous drainage are analyzed. Besides we propose a therapeutic approach algorithm.

Results: We found out that division pedicle strategy and use of cephalic vein is an excellent option for venous drainage in DIEP flaps when venous congestion occurs. This vessel allows easy dissection, has a suitable caliber and has a wide length to choose the appropriate anastomosis site.

Conclusion: Division pedicle and use of cephalic vein as a site receptor in cases of venous congestion in DIEP flaps allows adequate venous drainage and may be an option to resolve this complication.

Author(s):

Marcela Sanchez, Camilo Mejia* and David Ramirez

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