Predicting and planning for SIEA flap utilisation in breast reconstruction; an algorithm combining pre-operative computed tomography analysis and intraoperative angiosome assessment

Low flap complication rates and excellent aesthetic outcomes are now commonplace in breast reconstruction. As a result, attention is now being focused on minimising donor site morbidity. Despite its potential donor site advantages, the SIEA flap is often discounted given concerns about the high flap failure rates. In this study we present out experience of using the SIEA flap in breast reconstruction and provide an algorithm based upon the pre-operative computed tomography angiogram (CTA) to aid pre-operative planning.

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