PMC4803809_01
Preoperative view of a 55-year-old female patient with a history of left breast conservation surgery, radiation, and a painful scar contraction deformity
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Fig1
See (Fig. 1) for the preoperative appearance of the patient.
Cannula venesection of SIEV was performed intraoperatively
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Fig2
We chose to perform cannula venesection of the SIEV because it would require less operative time than supercharging the flap, and it would avoid having to create another microanastomosis.Venesection of the SIEV entailed inserting the cannula (Surge cardiovascular, blunt tip without check value) into the SIEV lumen, tunneling it out of the skin of the anterior chest wall at the inferomedial aspect of the reconstructed breast, and securing the cannula to the SIEV with 2-0 silk (Fig. 2).
Postoperative view at 6 months after revision surgery for symmetry
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Fig3
An acceptable aesthetic result was achieved (Fig. 3).