Recipient Vessels Veins:
1. Internal Mammary-3rd rib.
2. Internal Mammary – 2nd rib
3. External Jugular
4. Brachiocephalic
5. Thoracodorsal*
Diameters of Deep Inferior Epigastric Vessels- 2.5 mm
Pedicle Length- 5 cm
Coupler: Mobile to non-mobile (or)
Coupler: Diameter to be shortened 1st to match size discrepancy.
Perforator Flap (Venous Flow). Perforator Decision Tree
Palpable Pulse, No Venous Signal: +++
Arterial Signal, Venous Signal: +
No Arterial Signal, Venous Signal: ---
Harvest of DIEP Flap:
Vein
Artery
Vein
Anastamosis Clamps Off:
Venous Anastamosis
Arterial Anastamosis
Fill Test, Reflow Test
Doppler-Venous Augmentation Test
