Question:
Which flap, with its correctly matched vascular pedicle, is commonly used in breast reconstruction?
Which flap, with its correctly matched vascular pedicle, is commonly used in breast reconstruction?
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The flap whose name literally tells you its vessel is the only correctly matched pair.
Updated On: Jun 23, 2026
- DIEP flap based on the deep inferior epigastric vessels
- TRAM flap based on the superior gluteal vessels
- Gluteal flap based on the thoracodorsal artery
- Latissimus dorsi flap based on the inferior epigastric artery
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The Correct Option is A
Solution and Explanation
Step 1: The question tests both the flap used in breast reconstruction and the correct vascular pedicle for each option.
Step 2: The DIEP (deep inferior epigastric perforator) flap is a workhorse of autologous breast reconstruction and is based, as its name states, on the deep inferior epigastric vessels. This pairing is correct, so it is the answer.
Why the others are wrong (mismatched pedicles): The TRAM flap is based on the superior or inferior epigastric vessels, not the superior gluteal vessels. The gluteal (SGAP) flap is based on the gluteal vessels, not the thoracodorsal artery. The latissimus dorsi flap is based on the thoracodorsal artery, not the inferior epigastric artery.
Ref: Bailey and Love, Short Practice of Surgery, 27th edition, Pg 879.
Step 2: The DIEP (deep inferior epigastric perforator) flap is a workhorse of autologous breast reconstruction and is based, as its name states, on the deep inferior epigastric vessels. This pairing is correct, so it is the answer.
Why the others are wrong (mismatched pedicles): The TRAM flap is based on the superior or inferior epigastric vessels, not the superior gluteal vessels. The gluteal (SGAP) flap is based on the gluteal vessels, not the thoracodorsal artery. The latissimus dorsi flap is based on the thoracodorsal artery, not the inferior epigastric artery.
Ref: Bailey and Love, Short Practice of Surgery, 27th edition, Pg 879.
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