ArticleAesthetic plastic surgery2025
Comparing Minimally Invasive and Conventional Approaches to DIEP Flap Harvest: A Matched-Pair Analysis from a High-Volume Center.
Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Rectus Abdominis Fascia Plication Within DIEP Flap Breast Reconstruction: Impact on Abdominal Wall Morbidity and Patient Satisfaction Evaluated with the BREAST-Q.Journal of clinical medicine · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsSeveral approaches aim to reduce donor site morbidity in harvesting autologous deep inferior epigastric perforator (DIEP) flaps. This study aimed to demonstrate a short fasciotomy technique for DIEP flap harvest and to quantify the outcomes, analgesia requirements, and time to mobility compared with the conventional approach.
methodsThis retrospective, single-center study included 22 patients who underwent unilateral breast reconstruction with autologous DIEP flaps between November 1, 2023 and March 1, 2025, performed by a single surgeon. Patients undergoing minimally invasive DIEP flap harvest were matched with those receiving conventional DIEP flap harvest based on key variables and characteristics.
resultsEleven patients underwent minimally invasive DIEP flap harvest with a mean operating time of 323.54 minutes. The mean length of fasciotomy was 2.79 cm in the minimally invasive group and 9.72 cm in the conventional group. The time to first mobility was 1.18 days in the minimally invasive cohort and 2.09 days in the control group (p = 0.0013). The postoperative mean total strong opioid requirement was 18 mg in the minimally invasive cohort and 42 mg in the control group (p < 0.001). Patients in the minimally invasive cohort were discharged significantly earlier, with a mean of 5.2 days (p < 0.0001). No flap loss occurred in either group.
conclusionsMinimally invasive DIEP flap harvesting using small fasciotomies is a safe and promising technique that minimizes functional donor site morbidity and offers reliable outcomes, including faster mobilization, reduced postoperative opioid use, and shorter hospital stays. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
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