ArticlePlastic and reconstructive surgery. Global open2018
Enhanced Preoperative Deep Inferior Epigastric Artery Perforator Flap Planning with a 3D-Printed Perforasome Template: Technique and Case Report.
Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Simple Evaluation Method of Deep Inferior Epigastric Artery and its Perforators Using a Three-Dimensional Computer Graphics Software Viewtify.Journal of plastic and reconstructive surgery · 2026Article
- Review
- Three-Dimensional Printing in Breast Reconstruction: Current and Promising Applications.Journal of clinical medicine · 2024Review
- [Accurate tissue flap reconstruction method based on the quadratic surface developability for head and neck soft tissue defects].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023Article
- Three-dimensional Medical Printing and Associated Legal Issues in Plastic Surgery: A Scoping Review.Plastic and reconstructive surgery. Global open · 2023Article
- Radiological Society of North America (RSNA) 3D Printing Special Interest Group (SIG) clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination: breast conditions.3D printing in medicine · 2023Article
- Using Virtual Reality for Deep Inferior Epigastric Perforator Flap Preoperative Planning.Plastic and reconstructive surgery. Global open · 2023Article
- Vascular Mapping for Abdominal-Based Breast Reconstruction: A Comprehensive Review of Current and Upcoming Imaging Modalities.Eplasty · 2023Review
- The accuracy of clinical 3D printing in reconstructive surgery: literature review andGland surgery · 2021Review
- Three-dimensional Printing in Plastic Surgery: Current Applications, Future Directions, and Ethical Implications.Plastic and reconstructive surgery. Global open · 2021Article
- Applications of 3D printing in breast cancer management.3D printing in medicine · 2021Review
- A review of visualized preoperative imaging with a focus on surgical procedures of the breast.Gland surgery · 2019Review
- How to assess a CTA of the abdomen to plan an autologous breast reconstruction.Gland surgery · 2019Article
- 3-DIEPrinting: 3D-printed Models to Assist the Intramuscular Dissection in Abdominally Based Microsurgical Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Optimizing preoperative planning is widely sought in deep inferior epigastric artery perforator (DIEP) flap surgery. One reason for this is that rates of fat necrosis remain relatively high (up to 35%), and that adjusting flap design by an improved understanding of individual perforasomes and perfusion characteristics may be useful in reducing the risk of fat necrosis. Imaging techniques have substantially improved over the past decade, and with recent advances in 3D printing, an improved demonstration of imaged anatomy has become available. We describe a 3D-printed template that can be used preoperatively to mark out a patient's individualized perforasome for flap planning in DIEP flap surgery. We describe this "perforasome template" technique in a case of a 46-year-old woman undergoing immediate unilateral breast reconstruction with a DIEP flap. Routine preoperative computed tomographic angiography was performed, with open-source software (3D Slicer, Autodesk MeshMixer and Cura) and a desktop 3D printer (Ultimaker 3E) used to create a template used to mark intra-flap, subcutaneous branches of deep inferior epigastric artery (DIEA) perforators on the abdomen. An individualized 3D printed template was used to estimate the size and boundaries of a perforasome and perfusion map. The information was used to aid flap design. We describe a new technique of 3D printing a patient-specific perforasome template that can be used preoperatively to infer perforasomes and aid flap design.
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Registered trials
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