Ultrasound-Guided Skin Marking for DIEP Flap Surgery

Deep inferior epigastric artery perforator (DIEP) flaps are widely regarded as the gold standard for autologous breast reconstruction. However, the surgical technique involves a significant learning curve and longer surgical times, primarily due to the need for precise localization of perforators during surgery. Traditionally, this is accomplished using Doppler ultrasound, which can be challenging and time-consuming for inexperienced operators. To address these difficulties and enhance surgical efficiency, our institution has implemented preoperative skin-marking in collaboration with the Breast Radiology department. This article outlines our technique and experiences with this approach.