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Abstract：
In the vast expanse of restorative surgical procedures, the Deep Inferior Epigastric Perforator (DIEP) flap, originating from the inferior epigastric artery, has emerged as the preferred method of breast reconstruction, attributable to its myriad advantages. The technique provides reliable vascular supply, robust tissue volume for excision, minimal invasiveness to the donor site, with direct closure and concealment of the said site. This paper embarks on an elaborate elucidation of the DIEP surgical procedure, pivoting on the analytical exploration of a particular instance where necrosis of the skin flap occurred following immediate DIEP breast reconstruction in a patient diagnosed with early-stage breast cancer. This patient had previously undergone Nipple Areola Complex Sparing Mastectomy (NSM). We endeavor to extrapolate insights from this singular case of post-NSM DIEP breast reconstruction failure and correlate our findings with current literature dedicated to similar instances of surgical failure in DIEP breast reconstruction.
摘要：
在广阔的恢复性外科手术中，深下胃穿支(DIEP)皮瓣,起源于腹壁下动脉,已经成为乳房重建的首选方法，归因于其无数的优势。该技术提供了可靠的血管供应，切除的坚固组织体积，对捐赠部位的侵入性极小，直接关闭和隐藏该网站。本文对DIEP外科手术进行了详细的阐述，对诊断为早期乳腺癌的患者在立即DIEP乳房重建后发生皮瓣坏死的特殊情况进行分析探索。该患者先前曾接受过乳头乳晕复合体保留乳房切除术（NSM）。我们努力从NSM后DIEP乳房重建失败的单例病例中推断见解，并将我们的发现与DIEP乳房重建中类似手术失败的最新文献相关联。
