The Role of ICG in Breast Reconstruction with DIEP FLAP: from Quality Assessment to Quantification

Clinical History:

• 57-year-old woman
• Left breast cancer 2004 Immediate reconstruction. Tissue expander
• Capsular contracture
• 2020 Suitable DIEP flap

Procedure Steps:

• 1) DIEP Flap raising
• 2) Receptor vessels dissection
• 3) Vascular anastomosis
• 4) DIEP insetting
• 5) Abdominal diastasis plicature and donor side closure

Learning Points:

• ICG role in breast reconstruction with DIEP flap
• Quantification and interpretation of ICG in DIEP flap
• Descent of splenic flexure
• Tips and tricks for vascular anastomosis
• Tips and tricks for DIEP raise and inset