Sensory Nerve Coaptation in DIEP Flap Breast Reconstruction

Nerve Coaptation Improves the Sensory Recovery of the Breast in DIEP Flap Breast Reconstruction

Restoring the sensation of the breast becomes increasingly recognized as a critical part of autologous breast reconstruction. A prospective study was conducted of all patients who underwent either innervated or non-innervated deep inferior epigastric perforator (DIEP) flap breast reconstruction in Maastricht University Medical Center between August 2016 and August 2018 and who returned between for a follow-up visit between the start of the study and August 2019. Semmes-Weinstein monofilaments were used for sensory testing of the breast.

Inclusion Criteria:

• Female patients 18 years or older
• Unilateral or bilateral DIEP flap breast reconstruction
• Returned for follow-up between August 2016 and August 2019
• Informed consent

Exclusion Criteria:

• Total flap loss complication
• Flaps that required a take-back
• Follow-up less than six months postoperatively
• Only one postoperative measurement at less than 12 months follow-up
• Mixed reconstructions: an innervated breast reconstruction on one side and a noninnervated breast reconstruction on the other side