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Shane C. Kim, M.D. - Komenoregon.org

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Free flaps‐ the DIEP<br />

• What is it<br />

• Deep Inferior Epigastric Artery Perforator flap<br />

• Similar concept to free TRAM<br />

• Involves dissection of the artery from the muscle and a<br />

perforating vessel which supplies the skin and fat<br />

• Preserves muscle and fascia so strength and integrity<br />

are maintained<br />

• Technically longer surgery, but less invasive<br />

• Possible risk of fat necrosis<br />

• Very appealing to patients, newer technique, and a<br />

useful form of reconstruction

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