Question

Flap commonly used in breast reconstruction is?

• A. DIEP based on deep inferior epigastric vessels
• B. TRAM based on superior gluteal vessels
• C. Gluteal flap based on thoracodorsal artery
• D. Latissimus dorsi flap based on the inferior epigastric artery

Answer 1

The Correct Option is A

The flap commonly used in breast reconstruction is the DIEP flap, which is based on the deep inferior epigastric vessels. This option is correct because the DIEP flap involves the transfer of skin and fat from the lower abdomen to the chest area, utilizing the deep inferior epigastric vessels for blood supply. This allows for reconstruction without sacrificing the abdominal muscles, leading to a more natural appearance and preservation of abdominal strength.

Flap Type	Blood Supply
DIEP	Deep inferior epigastric vessels
TRAM	Superior gluteal vessels
Gluteal flap	Thoracodorsal artery
Latissimus dorsi flap	Inferior epigastric artery

The alternative options provided have incorrect associations with their respective blood supplies. For instance, the TRAM flap is traditionally associated with the transverse rectus abdominis muscle and commonly uses the superior epigastric vessels. Similarly, a gluteal flap is generally associated with the gluteal vessels, and the latissimus dorsi flap is traditionally based on the thoracodorsal artery. Understanding the correct blood supply for each type of flap is crucial in reconstructive surgery to ensure successful outcomes and minimal complications.