case_images: PMC11034507_01
case_images: PMC11034507_02
case_images: Sequential Stages of the DIEP Breast Reconstruction Surgical Procedure. (A) The initial stage involves preoperative markings which denote the tumor location and the range for flap excision. (B) This image highlights the vessels in the recipient area: The intra-thoracic arteries and veins are revealed within the 3rd rib space, as shown by arrows indicating 1 artery and 1 accompanying vein. (C) Post the freeing of the donor flap, the primary trunk of the subabdominal vessels becomes visible. A small section of the rectus abdominis muscle is observed wrapping around the vessel tips, also indicated by arrows. (D) After the vascular anastomosis, the image, guided by arrows, illustrates the flap edges exhibiting bleeding but with good blood flow after the removal of the epidermis. (E) Here we see the reconstructed breasts post shaping, with the bilateral breasts demonstrating basic symmetry. (F) The final image shows the status of the flap 1-5 days post-surgery, with a stable blood flow apparent.
case_images: CMAR-16-337-g0001.jpg
case_images: PMC11034507_08_CMAR-16-337-g0001.jpg
case_images: f0001
case_images: The flap's blood flow was diligently monitored and remained stable during the first five days postoperatively, indicative of an initially successful procedure (Figure 1F).
case_images: PMC11034507_03
case_images: PMC11034507_04
case_images: Sequential Stages of the DIEP Breast Reconstruction Surgical Procedure. (A) The initial stage involves preoperative markings which denote the tumor location and the range for flap excision. (B) This image highlights the vessels in the recipient area: The intra-thoracic arteries and veins are revealed within the 3rd rib space, as shown by arrows indicating 1 artery and 1 accompanying vein. (C) Post the freeing of the donor flap, the primary trunk of the subabdominal vessels becomes visible. A small section of the rectus abdominis muscle is observed wrapping around the vessel tips, also indicated by arrows. (D) After the vascular anastomosis, the image, guided by arrows, illustrates the flap edges exhibiting bleeding but with good blood flow after the removal of the epidermis. (E) Here we see the reconstructed breasts post shaping, with the bilateral breasts demonstrating basic symmetry. (F) The final image shows the status of the flap 1-5 days post-surgery, with a stable blood flow apparent.
case_images: CMAR-16-337-g0001.jpg
case_images: PMC11034507_08_CMAR-16-337-g0001.jpg
case_images: f0001
case_images: The flap's blood flow was diligently monitored and remained stable during the first five days postoperatively, indicative of an initially successful procedure (Figure 1F).
case_images: PMC11034507_05
case_images: Sequential Stages of the DIEP Breast Reconstruction Surgical Procedure. (A) The initial stage involves preoperative markings which denote the tumor location and the range for flap excision. (B) This image highlights the vessels in the recipient area: The intra-thoracic arteries and veins are revealed within the 3rd rib space, as shown by arrows indicating 1 artery and 1 accompanying vein. (C) Post the freeing of the donor flap, the primary trunk of the subabdominal vessels becomes visible. A small section of the rectus abdominis muscle is observed wrapping around the vessel tips, also indicated by arrows. (D) After the vascular anastomosis, the image, guided by arrows, illustrates the flap edges exhibiting bleeding but with good blood flow after the removal of the epidermis. (E) Here we see the reconstructed breasts post shaping, with the bilateral breasts demonstrating basic symmetry. (F) The final image shows the status of the flap 1-5 days post-surgery, with a stable blood flow apparent.
case_images: CMAR-16-337-g0001.jpg
case_images: PMC11034507_08_CMAR-16-337-g0001.jpg
case_images: f0001
case_images: The flap's blood flow was diligently monitored and remained stable during the first five days postoperatively, indicative of an initially successful procedure (Figure 1F).
case_images: PMC11034507_06
case_images: PMC11034507_07
case_images: PMC11034507_08
case_images: Sequential Stages of the DIEP Breast Reconstruction Surgical Procedure. (A) The initial stage involves preoperative markings which denote the tumor location and the range for flap excision. (B) This image highlights the vessels in the recipient area: The intra-thoracic arteries and veins are revealed within the 3rd rib space, as shown by arrows indicating 1 artery and 1 accompanying vein. (C) Post the freeing of the donor flap, the primary trunk of the subabdominal vessels becomes visible. A small section of the rectus abdominis muscle is observed wrapping around the vessel tips, also indicated by arrows. (D) After the vascular anastomosis, the image, guided by arrows, illustrates the flap edges exhibiting bleeding but with good blood flow after the removal of the epidermis. (E) Here we see the reconstructed breasts post shaping, with the bilateral breasts demonstrating basic symmetry. (F) The final image shows the status of the flap 1-5 days post-surgery, with a stable blood flow apparent.
case_images: CMAR-16-337-g0001.jpg
case_images: PMC11034507_08_CMAR-16-337-g0001.jpg
case_images: f0001
case_images: The flap's blood flow was diligently monitored and remained stable during the first five days postoperatively, indicative of an initially successful procedure (Figure 1F).
case_images: Six-Day Progression of Breast Appearance Following DIEP Surgery: (A) The image captured on the sixth day postoperatively, highlighted by an arrow, illustrates a red, swollen flap suggestive of potential hemorrhagic risk. (B) This image documents a bedside procedure involving the dissection of a portion of the incision suture and the reduction of tension. The arrow points to an area where bleeding is observed from the needle puncture flap. (C) Following surgical debridement, hemorrhage is identified in Area I and part of Area II of the flap, as pointed out by the arrow. Hemorrhage appears impaired in the remaining areas. (D) This photograph shows the area post the clearance of necrotic tissue, with signs of bruising and thrombus formation indicated by arrows. (E) Here, we can observe the residual skin flap subsequent to the removal of the necrotic flap area. (F) The dissection of the flap reveals clot formation around the vessel tip, the presence of an intravenous thrombus, and no detectable abnormality in the artery, as indicated by the arrow. (G) Finally, following the implantation of a skin expander, an injection of 210 mL of water is administered, causing the excess skin of the breast to retract.
case_images: CMAR-16-337-g0002.jpg
case_images: PMC11034507_11_CMAR-16-337-g0002.jpg
case_images: f0002
case_images: So far, 210 mL of water has been injected, and the excess skin of the breast has retracted (Figure 2G).
case_images: PMC11034507_09
case_images: Six-Day Progression of Breast Appearance Following DIEP Surgery: (A) The image captured on the sixth day postoperatively, highlighted by an arrow, illustrates a red, swollen flap suggestive of potential hemorrhagic risk. (B) This image documents a bedside procedure involving the dissection of a portion of the incision suture and the reduction of tension. The arrow points to an area where bleeding is observed from the needle puncture flap. (C) Following surgical debridement, hemorrhage is identified in Area I and part of Area II of the flap, as pointed out by the arrow. Hemorrhage appears impaired in the remaining areas. (D) This photograph shows the area post the clearance of necrotic tissue, with signs of bruising and thrombus formation indicated by arrows. (E) Here, we can observe the residual skin flap subsequent to the removal of the necrotic flap area. (F) The dissection of the flap reveals clot formation around the vessel tip, the presence of an intravenous thrombus, and no detectable abnormality in the artery, as indicated by the arrow. (G) Finally, following the implantation of a skin expander, an injection of 210 mL of water is administered, causing the excess skin of the breast to retract.
case_images: CMAR-16-337-g0002.jpg
case_images: PMC11034507_11_CMAR-16-337-g0002.jpg
case_images: f0002
case_images: So far, 210 mL of water has been injected, and the excess skin of the breast has retracted (Figure 2G).
case_images: PMC11034507_10
case_images: Six-Day Progression of Breast Appearance Following DIEP Surgery: (A) The image captured on the sixth day postoperatively, highlighted by an arrow, illustrates a red, swollen flap suggestive of potential hemorrhagic risk. (B) This image documents a bedside procedure involving the dissection of a portion of the incision suture and the reduction of tension. The arrow points to an area where bleeding is observed from the needle puncture flap. (C) Following surgical debridement, hemorrhage is identified in Area I and part of Area II of the flap, as pointed out by the arrow. Hemorrhage appears impaired in the remaining areas. (D) This photograph shows the area post the clearance of necrotic tissue, with signs of bruising and thrombus formation indicated by arrows. (E) Here, we can observe the residual skin flap subsequent to the removal of the necrotic flap area. (F) The dissection of the flap reveals clot formation around the vessel tip, the presence of an intravenous thrombus, and no detectable abnormality in the artery, as indicated by the arrow. (G) Finally, following the implantation of a skin expander, an injection of 210 mL of water is administered, causing the excess skin of the breast to retract.
case_images: CMAR-16-337-g0002.jpg
case_images: PMC11034507_11_CMAR-16-337-g0002.jpg
case_images: f0002
case_images: So far, 210 mL of water has been injected, and the excess skin of the breast has retracted (Figure 2G).
case_images: PMC11034507_11
case_images: Six-Day Progression of Breast Appearance Following DIEP Surgery: (A) The image captured on the sixth day postoperatively, highlighted by an arrow, illustrates a red, swollen flap suggestive of potential hemorrhagic risk. (B) This image documents a bedside procedure involving the dissection of a portion of the incision suture and the reduction of tension. The arrow points to an area where bleeding is observed from the needle puncture flap. (C) Following surgical debridement, hemorrhage is identified in Area I and part of Area II of the flap, as pointed out by the arrow. Hemorrhage appears impaired in the remaining areas. (D) This photograph shows the area post the clearance of necrotic tissue, with signs of bruising and thrombus formation indicated by arrows. (E) Here, we can observe the residual skin flap subsequent to the removal of the necrotic flap area. (F) The dissection of the flap reveals clot formation around the vessel tip, the presence of an intravenous thrombus, and no detectable abnormality in the artery, as indicated by the arrow. (G) Finally, following the implantation of a skin expander, an injection of 210 mL of water is administered, causing the excess skin of the breast to retract.
case_images: CMAR-16-337-g0002.jpg
case_images: PMC11034507_11_CMAR-16-337-g0002.jpg
case_images: f0002
case_images: So far, 210 mL of water has been injected, and the excess skin of the breast has retracted (Figure 2G).