Anatomic study of perforator neurovascular bundles of the deep inferior epigastric perforator flap.
- Author:
Hong-yan YANG
1
;
Jun XU
;
Xiao-lei JIN
;
Yi-ping YAN
;
Lan-hua MU
;
Yuan-bo LIU
;
Xiao-qing YAN
;
Sen-kai LI
Author Information
- Publication Type:Journal Article
- MeSH: Abdominal Wall; anatomy & histology; Cadaver; Female; Humans; Intercostal Nerves; anatomy & histology; Surgical Flaps
- From: Chinese Journal of Plastic Surgery 2004;20(1):27-29
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the anatomic characteristics of the perforator neurovascular bundles in the anterior abdominal wall for the anatomical basis of the sensate deep inferior epigastric perforator (DIEP) flap.
METHODSAbdominal wall dissection was performed on 9 embalmed female cadavers (18 sides).
RESULTSMost of the deep inferior epigastric perforators emerged at the anterior sheath of the rectus. There were averaged 17.5 perforators on each side, with the diameter equal to or larger than 0.5 mm in 7.8 perforators. The number of skin perforators was the greatest in the supero-medial area. 56.2 percent of vascular perforators traveled with the sensory branches while 80.9 percent of larger perforators (> or = 0.5 mm in diameter) run with the sensory branches.
CONCLUSIONSThe lateral perforator neurovascular bundle was the first choice in the design of the sensate DIEP flap.
