fig2

Figure 2. Arrow pointing to the left hemiabdomen in a bilateral DIEP with superficial dominant venous system. The left hemiabdomen demonstrated mild hyperemia compared to the right hemiabdomen prior to microvascular anastomosis. A second venous anastomosis to the SIEV was done at the initial microsurgical anastomosis. DIEP: deep inferior epigastric perforator; SIEV: superficial inferior epigastic vein.