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<p>Autologous DIEP free flap is considered the gold standard in breast reconstruction. Pleural injury is a rare complication mentioned in the literature, however, the evidence base of intraoperative management of pleural injury is sparse. We present the first case of a pleural injury that resulted in lung herniation in a unilateral bipedicled DIEP flap breast reconstruction, which was reconstructed with a pleural patching technique using the pectoralis major fascia.</p>

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Pectoralis fascia patch for the management of intraoperative pleural injury in free flap breast reconstruction

  • 期刊论文

  • 发表日期：

    2025年2月5日

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  • Vasiliki Fesatidou,
  • Ankur Khajuria,
  • Francesca Ruccia,
  • Anita Hazari

摘要

Autologous DIEP free flap is considered the gold standard in breast reconstruction. Pleural injury is a rare complication mentioned in the literature, however, the evidence base of intraoperative management of pleural injury is sparse. We present the first case of a pleural injury that resulted in lung herniation in a unilateral bipedicled DIEP flap breast reconstruction, which was reconstructed with a pleural patching technique using the pectoralis major fascia.