Abstract：
The purse-string DIEPplasty technique is a method to improve aesthetic outcomes in breast reconstruction using deep inferior epigastric perforator (DIEP) free flaps. Traditionally, DIEP flaps, harvested from the lower abdomen, take on a triangular shape that can lead to sub-optimal aesthetic outcomes with occasionally poor breast projection, irregular contours, or minimal upper pole fullness. The purse-string DIEPplasty technique addresses these issues by using a 0 Polydioxanone continuous purse-string suture through the Scarpa\'s fascia to modify the harvested flap\'s shape before inset, giving it a more round base and a central dome-like projection similar to an implant. This method mimics the shape of a breast implant, enhancing the flap\'s projection, volumetric efficiency, and overall shape, leading to a reconstructed breast with improved aesthetic qualities. This technique represents a potential advancement in reconstructive breast surgery, aiming to reduce the extent of revision procedures and improve patient satisfaction. Further research, however, is needed to validate its effectiveness over time and assess potential complications.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
荷包DIEP成形术是一种使用深下腹壁穿支（DIEP）游离皮瓣改善乳房重建美学效果的方法。传统上,DIEP襟翼,从小腹部收获，采取三角形形状，可能导致次优的美学结果，偶尔会出现不良的乳房投影，不规则轮廓,或最小的上极丰满度。荷包成型技术通过使用0聚二恶烷酮连续荷包缝合穿过Scarpa筋膜以在插入前修改收获的皮瓣的形状来解决这些问题，给它一个更圆的底座和一个类似于植入物的中心圆顶状突起。这种方法模仿乳房植入物的形状，增强襟翼的投影，容积效率，和整体形状，导致具有改善美学品质的重建乳房。这项技术代表了重建乳房手术的潜在进步，旨在减少修订程序的程度并提高患者满意度。进一步研究,然而,需要验证其随着时间的推移的有效性并评估潜在的并发症。证据级别IV本期刊要求作者为每篇文章分配一个级别的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
