In this video-based CME activity, David Song, MD, demonstrates an efficient and reliable method for finding and dissecting the Superficial Interior Epigastric Artery (SIEA) Flap in order to reconstruct the breast with hemi-lower abdominal SIEA flaps. A series of videos puts you in the operating room with Dr. Song as he prepares for and performs this breast reconstruction procedure. Learn how this expert practitioner chooses to mark the site lower on the torso so the final incision ends up similar to an abdominoplasty incision to help identify, find and dissect the superficial interior epigastric artery and vein. In addition, Dr. Song explains how most candidates are eligible for this technique who plan to undergo microsurgical breast reconstruction, but the challenge for the practicing surgeon is identifying when the SIEA vessel can be successfully be transferred without running into complications. By performing this technique, patients' post-operative pain is very minimal because the rectus abdominis fascia and muscle are not incised or excised.
After viewing this course, the participant should be able to:
Understand the typical indications for the use of the SIEA flap for microsurgical breast reconstruction.
Locate the SIEA vessel and know that it can be used if there is a pulse immediately after the incision is made (which is a sign of nutritive profusion of the hemi-abdominal flap); thus, commit to using the SIEA flap (and forego using alternative DIEP or Free-TRAM flap).
Be comfortable in the SIEA vein dissection.
Complete a successful transfer of the SIEA flap to the breast.
AMA PRA Category 1 CreditTM: .75
Patient Safety Credit: .5
Release Date: 11/15/2011
Reviewed Date: 7/1/2018
Expiration Date: 7/1/2021
Estimated time to complete this course: 45 minutes
Directly provided by the American Society of Plastic Surgeons® (ASPS®)
The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The ASPS designates this enduring material for a maximum of .75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.
Dr. Song has nothing to disclose. All ASPS staff members managing this activity have no relevant financial relationships or affiliations to disclose. All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.
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Product Code: 16498