AB047. SOH26AB_0435. Superficial inferior epigastric artery (SIEA) flap for autologous breast reconstruction: a cohort study with technical pearls

Autologous abdominal tissue transfer remains the gold standard for breast reconstruction due to its natural aesthetic. The superficial inferior epigastric artery (SIEA) flap is the least invasive abdominal option, avoiding rectus muscle and fascial violation, but uptake is low because of concerns about arterial complications and donor site morbidity. This study aimed to review institutional experience with SIEA flaps in carefully selected patients and highlighted technical strategies to optimise outcomes.