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  • Update: DIEP Flaps Call for S Codes, Not 19364 - AAPC
    Code 19364, Breast reconstruction with free flap, is the appropriate code to report free flap breast reconstruction, regardless of the specific free flap used It may be a free transverse rectus abdominis myocutaneous (TRAM), a free DIEP, or a gluteal free flap
  • The deep inferior epigastric artery perforator (DIEP) flap
    On the right side of the abdomen, a large DIEP perforator through the rectus muscle is illustrated On the contralateral side, the superficial inferior epigastric artery (SIEA) and the superficial inferior epigastric vein (SIEV) are demonstrated
  • 19364 vs. S2068 for DIEP SIEP Flaps - AAPC Knowledge Center
    It may be a free transverse rectus abdominis myocutaneous (TRAM), a free DIEP, or a gluteal free flap Code 19364 is not limited to a particular type of free flap, and it is the code to be used to report any type of free flap breast reconstruction
  • Breast Reconstruction Perforator Flaps - StatPearls - NCBI Bookshelf
    In many clinical institutions, DIEP and SIEA (superficial inferior epigastric artery perforator) flaps have completely replaced the use of the free TRAM (transverse rectus abdominis myocutaneous) flap and constitute the first choice for autologous breast reconstruction
  • 6. 3 TRAM DIEP Flap - Plastic Surgery Key
    Greater emphasis is now placed on leaving as much muscle in place as possible with intact innervation and ensuring flap vascularization with only one or two perforating vessels Further information can be found in the illustrations and detailed descriptions provided in the accompanying legends
  • Transverse Rectus Abdominis Musculocutaneous Flap
    Accordingly, alternatives to the single-pedicle TRAM flap, such as the double-pedicle, “supercharged,” “turbocharged,” and free TRAM flaps, have been used as a means to enhance flap vascularity
  • Rectus abdominis - AO Foundation Surgery Reference
    When a muscle flap is harvested, a portion or the entire rectus abdominis muscle can be harvested based on the deep inferior epigastric system The outline of the rectus abdominis muscle can be drawn on the anterior abdominal wall prior to designing the skin paddle
  • Pre-operative CT angiography and three-dimensional image post . . .
    The objectives of this article are to review the arterial anatomy of the anterior abdominal wall, describe the features used to select a perforator artery for DIEP flap surgery and present a CT scanning and image post-processing protocol
  • Breast Reconstruction With a Deep Inferior Epigastric Perforator Flap . . .
    In a free TRAM flap, the infraumbilical portion of the rectus abdominis muscle and the deep inferior epigastric vasculature are divided and reanastomosed to the recipient vessels of the chest The muscle is not tunneled under the skin, so the plastic surgeon can sacrifice less of the rectus muscle
  • DIEP (Deep Inferior Epigastric Perforator) Flap Reconstruction – 3D and . . .
    From this scan, radiologic technologists segment the deep inferior epigastric arteries and their perforating branches which supply blood to the flap tissue (these vessels exit the abdominal wall and reach into the belly fat)





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