Breast reconstruction using the entire transverse abdominal adipocutaneous flap based on unilateral superficial or deep inferior epigastric vessels

Plastic and Reconstructive Surgery
B Gozel UlusalDennis Song

Abstract

Among various alternatives for autologous breast reconstruction, the superficial inferior epigastric artery abdominal flap provides the least donor-site morbidity, as dissection of the rectus abdominis sheath and muscle is not required. However, because of inconsistencies in the existence and size of the superficial inferior epigastric artery, its use is limited. In addition, whether the perfusion from the superficial system is adequate across the midline is still a question to be answered. Over a period of 16 months, the authors performed a total of 44 breast reconstructions using either the deep inferior epigastric artery perforator flap (n = 30) or the superficial inferior epigastric artery flap (n = 14). In all cases, the superficial inferior epigastric artery system was explored first and used as the pedicle if the diameter of the available vessels was larger than 1 mm. If the vessels were unavailable or the diameters were smaller than 1 mm, the deep inferior epigastric artery and vein were used as the pedicle. The diameter of the superficial inferior epigastric artery ranged between 0.8 and 3.0 mm, and the mean pedicle length was 6 cm. The superficial inferior epigastric artery was not available in 21 cases (48 percent), ...Continue Reading

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Citations

Dec 15, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·David E KurlanderHooman T Soltanian
Jan 17, 2016·Microsurgery·Kyeong-Tae Lee, Goo-Hyun Mun
Mar 20, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Andrea FigusVenkat V Ramakrishnan
May 13, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Minja GregoričZoran M Arnež
May 31, 2011·Clinics in Plastic Surgery·Louis de WeerdSven Weum
Jun 24, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Sühan AyhanYener Demirtas
Nov 27, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Darren I BooiRene R W J van der Hulst
Nov 15, 2014·Archives of Plastic Surgery·Byung Jun KimHak Chang
Jan 10, 2008·Plastic and Reconstructive Surgery·Leif Sigurdson, Donald H Lalonde
Dec 4, 2008·Plastic and Reconstructive Surgery·Charlotte HolmMilomir Ninkovic
Aug 28, 2010·Annals of Plastic Surgery·Rozina AliMing-Huei Cheng
Jul 25, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Di Wang, Wen Chen
Dec 8, 2019·Aesthetic Plastic Surgery·Lisanne GrünherzOliver Christian Thamm
May 25, 2016·Plastic and Reconstructive Surgery·Julie E ParkDavid H Song
Feb 12, 2020·Aesthetic Plastic Surgery·Lisanne GrünherzOliver Thamm
Aug 24, 2021·Plastic and Reconstructive Surgery. Global Open·Stahs Pripotnev, J Scott Williamson
Oct 6, 2021·Plastic and Reconstructive Surgery·Ahmed M HashemRisal Djohan

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