PREOPERATIVE PLANNING BREAST RECONSTRUCTION PERFORATOR FLAP (CHART OF SELECTION OF PATIENTS AND POSSIBLE COMPLICATIONS)
The reconstruction surgery is a most important part of the surgical treatment of breast cancer. Autologous tissue reconstruction is the gold standard of breast reconstruction. The most commonly used flap is still the DIEP-flap. There were 35 DIEP-flap breast reconstruction In the department of reconstructive surgery from 2013 to 2015year. Preoperative Marking perforating performed using ultrasound SanoSite Edje using a linear sensor with a frequency of 10 to 13 MHz and an ultrasonic apparatus Logiq S6 and the line sensor M 12L (12-14 MHz) for intraoperative and postoperative flap control perfusion was performed using fluorescein angiography PDE unit of Hamamatsu using the dye indocyanine green or apparatus SPY. In this way the autologous breast reconstruction provides the fastest and stable aesthetic result. Free perforator flaps is particularly optimal in cases of unsuccessful artificial materials used for breast reconstruction and after radiation therapy.