In this video, Maurice Nahabedian, MD performs a delayed left breast reconstruction using a deep inferior epigastric perforator (DIEP) flap reconstruction on a 43-year-old woman who has had prior radiation therapy. DIEP flaps are frequently chosen for autologous reconstruction because they can be harvested with no muscle and minimal fascial sacrifice. In this video, observe how Dr. Nahabedian marks the surgical site and begins his dissection. Once the internal mammary artery and vein are exposed, and the DIEP flap has been elevated watch Dr. Nahabedian's microsurgery technique as the new breast is reconstructed.
To jump to specific sections of this video, follow the guide below:
1. Recipient Vessel Dissection: 1:36
2. Flap Dissection Including Pedicle: 36:35
3. Micro Set-up and Anastamosis: 54:19
4. Flap Shaping: 1:10:22
5. Aftercare: 1:15:35
To view this surgery and earn up to 1.5 AMA PRA Category 1 CreditTM, purchase the Surgery Spotlight: DIEP Flap Breast Reconstruction online course.