ArticlePlastic and reconstructive surgery. Global open2025
Neurotized Dual-pedicle Deep Inferior Epigastric Perforator Flap With Vascularized Lymph Node Transfer for Unilateral Breast Reconstruction.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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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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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- One Surgery, Two Solutions: A Systematic Review of Combined Autologous Breast Reconstruction and Lymphatic Surgery.Current oncology (Toronto, Ont.) · 2026Pooled it
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: We describe clinical outcomes of combining a dual-pedicle deep inferior epigastric perforator (DIEP) flap, direct neurotization, and vascularized lymph node transfer (VLNT) for unilateral reconstruction in patients with breast cancer-related lymphedema or high risk of lymphedema. Methods: A retrospective review identified consecutive patients who underwent the composite procedure by a single surgeon from February 2018 to February 2020. Lymphedema status and breast sensation were evaluated clinically at routine follow-up (median, 11.5 mo [range, 9.9-24.5 mo]). Results: Five women (mean age 49 y, mean body mass index 23 kg/m²) underwent neurotized dual-pedicle DIEP with VLNT, 1 immediate and 4 delayed reconstructions. Mean operative time was 488 minutes (median, 480 min [range, 390-555 min]). Length of stay averaged 3.5 days (range, 3-4 d). No total or partial flap loss, donor-site hernia, seroma, hematoma, wound dehiscence, or 30-day reoperations occurred. Four patients experienced complete clinical resolution of upper extremity lymphedema; the remaining patient improved from stage II to stage I disease and continues compression therapy. All patients reported protective sensation in the reconstructed breast by 6 months. Secondary symmetry refinements included fat grafting (4 patients; mean 66 mL) and 1 implant augmentation. No donor-site lower extremity lymphedema was observed. Conclusions: Combining a dual-pedicle DIEP flap, flap neurotization, and VLNT is technically feasible and, in this pilot series, achieved reliable breast reconstruction while simultaneously addressing lymphedema and sensory restoration without added morbidity.
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Registered trials
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