Neurovascular anatomy of the deep inferior epigastric perforator flap for breast reconstruction.
Article
in English
| IMSEAR
| ID: sea-41150
ABSTRACT
OBJECTIVE:
To find out the most suitable perforator and cutaneous nerve for strategic design of the deep inferior epigastric perforator (DIEP) flap. MATERIAL ANDMETHOD:
The characteristics of the pedicles, perforators, intercostal nerves and the relationship between nerves and vessels in DIEP flaps were studied in 31 formalin-preserved cadavers.RESULTS:
Four hundred and five perforator vessels were divided into three vertical rows. These perforators were mostly contained in the medial row (45.4%), the average size of the perforators in the lateral row was the largest (1.0+/- 0.3 mm). The largest perforators (1.4+/- 0.3 mm) were mostly located within 1 cm horizontally from the umbilicus. Lateral row perforators, usually rectilinear course (82.7%), traveled with nerves from the beginning. Whereas, the perforators in the medial row usually coursed obliquely (86.4%) and were not related to nerves initially, they joined before piercing the rectus sheath.CONCLUSION:
The present findings indicate that it would be more beneficial to use the lateral row perforators.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Surgical Flaps
/
Female
/
Humans
/
Cadaver
/
Mammaplasty
/
Intercostal Nerves
/
Mastectomy
Language:
English
Year:
2006
Type:
Article
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