Deep inferior epigastric artery perforator flap donor site closure with cannula-assisted, limited undermining and progressive high-tension sutures (CALP) versus standard abdominoplasty: complications, sensitivity and cosmetic outcomes

In Deep Inferior Epigastric artery Perforator (DIEP) flap breast reconstruction, abdominal donor-site cosmetic and sensibility outcomes as well as the closure technique have drawn little attention in literature with many surgeons still following the principles of standard abdominoplasty (SA). In this paper we report our experience with Cannula-Assisted, Limited undermining and Progressive high-tension suture (CALP) technique of DIEP donor-site closure compared to SA