TAILIEUCHUNG - Deep inferior epigastric perforator flap: an anatomical study of the perforator

Deep inferior epigastric artery perforator flaps have become popular worldwide in breast reconstruction to reduce done site morbidity. Isolating perforator vessels challenges most surgeons. The purpose of study was to investigate anatomical vascular of the deep inferior epigastric perforator flap. | Journal of military pharmaco-medicine no5-2018 DEEP INFERIOR EPIGASTRIC PERFORATOR FLAP: AN ANATOMICAL STUDY OF THE PERFORATORS Nguyen Van Phung*; Tran Van Anh**; Vu Quang Vinh** SUMMARY Objectives: Deep inferior epigastric artery perforator flaps have become popular worldwide in breast reconstruction to reduce done site morbidity. Isolating perforator vessels challenges most surgeons. The purpose of study was to investigate anatomical vascular of the deep inferior epigastric perforator flap. Subjects and methods: 40 flaps were harvested from 20 fresh adult cadavers. The deep inferior epigastric artery and its perforators were dissected and canularized. Barium sulfate 30% v/w diluted and mixed with blue methylen was injected. Determine details such as perforator size, location and measurements in relation to the umbilicus. Results: 177 perforator vessels dissected from 40 flaps, average flap. 106 perforators (59,9%) in a medial row with 84 perforators (79,3%) were oblique course. 71 perforators (40,1%) in a lateral row with 51 perforators (71,8%) were rectilinear course. 111 perforators (63,7%) located in a distance of 10 - 40 mm from the umbilicus. The average length and diameter of the dominant perforators was ± mm and 1 ± mm. Conclusion: Understanding the morphological characteristics of the perforator can aid the surgeon in more harvesting safety the deep inferior epigastric artery perforator flap. Two vertical rows of perforator vessels were observed along the anterior rectus abdominal sheath: medial row and lateral row. The perforator presents a rectilinear course usually was in lateral row and easy to dissect than the perforator presents an oblique course. The dominant perforators usually located in a distance of 15 - 40 mm from the umbilicus. * Keywords: Deep inferior epigastric perforator flap; Breast reconstruction. INTRODUCTION The deep inferior epigastric perforator (DIEP) flap is one of the most commonly flaps that was used for .

• Y khoa - Dược
• Deep inferior epigastric perforator flap
• Breast reconstruction
• Deep inferior epigastric artery
• Deep superior epigastric system
• Rectus abdominis musculocutaneous flaps
• Anatomic study of the perforators
• Morphological characteristic of the perforator
• The number of perforators per the deep inferior epigastric perforator
• The DIEP flap