{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T02:39:21Z","timestamp":1792636761340,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T00:00:00Z","timestamp":1540166400000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>The superficial inferior epigastric artery (SIEA) flap and the deep inferior epigastric perforator (DIEP) flap have been increasingly adopted for breast reconstruction; however, each have its own set of advantages and disadvantages. In the select subset of patients that cannot tolerate minimal abdominal fasciotomy that occurs with DIEP harvest and do not have adequate pedicle length that often occurs after SIEA harvest, we suggest another option for abdominally\u2010based free flap breast reconstruction. Here, we describe the formation of a composite perforator based on the pedicle of the retro\u2010rectus deep inferior epigastric vessels and the superficial inferior epigastric vessels, known as a superficial and deep inferior epigastric artery (SADIE) flap, which allows for a more compatible anastomotic size match than the SIEA and elongation of the vascular pedicle with minimal dissection of the anterior rectus fascia. Our patient is a 36\u2009year\u2010old female (BMI\u2009=\u200924) with a history of breast cancer who subsequently underwent skin\u2010sparing mastectomy with tissue expander, chemotherapy, and eventual superior and deep inferior epigastric artery (SADIE) composite flap. The patient had an uncomplicated postoperative course at 6\u2010month follow\u2010up with excellent cosmesis. This modification in surgical technique has not been previously described in the literature and represents a suitable option for those desiring breast reconstruction, but have short pedicle length at harvest and cannot tolerate abdominal fasciotomy.<\/jats:p>","DOI":"10.1002\/micr.30362","type":"journal-article","created":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T11:33:39Z","timestamp":1540208019000},"page":"799-803","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The superficial and deep inferior epigastric artery composite perforator flap for breast reconstruction: A case report"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5618-1099","authenticated-orcid":false,"given":"Andrew A.","family":"Gassman","sequence":"first","affiliation":[{"name":"Department of Surgery Temple University Hospital  Philadelphia Pennsylvania"},{"name":"Division of Plastic and Reconstructive Surgery Temple University Hospital  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Surgery Temple University Hospital  Philadelphia Pennsylvania"},{"name":"Division of Plastic and Reconstructive Surgery Temple University Hospital  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Edwin","family":"Acevedo","sequence":"additional","affiliation":[{"name":"Department of Surgery Temple University Hospital  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Haddock","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery University of Texas Southwestern Medical Center at Dallas  Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumeet","family":"Teotia","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery University of Texas Southwestern Medical Center at Dallas  Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,22]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1999.3100"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000095941.86060.8E"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198401000-00001"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2015.07.038"},{"key":"e_1_2_5_6_1","first-page":"10771083","article-title":"Breast reconstruction with superficial inferior epigastric artery flaps: A prospective comparison with TRAM and DIEP flaps","volume":"114","author":"Chevray P. 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