Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 62, Issue 8 , Pages 986-990 , August 2009

The cutaneous course of deep inferior epigastric perforators: implications for flap thinning

  • W.M. Rozen

      Affiliations

    • Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Victoria, Australia
    • Corresponding Author InformationCorresponding author. Address: Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, University of Melbourne, Parkville 3050, Victoria, Australia. Tel.: +61 411 456 644.
    • ,
  • A.C.A. Murray

      Affiliations

    • Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Victoria, Australia
    • ,
  • M.W. Ashton

      Affiliations

    • Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Victoria, Australia
    • ,
  • R.J. Bloom

      Affiliations

    • Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Victoria, Australia
    • ,
  • D.L. Stella

      Affiliations

    • Department of Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia
    • ,
  • T.J. Phillips

      Affiliations

    • Department of Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia
    • ,
  • G.I. Taylor

      Affiliations

    • Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Victoria, Australia

Received 15 October 2007 ,Accepted 5 January 2008.

References 

  1. Boyd JB, Taylor GI, Corlett RJ. The vascular territories of the superior epigastric and deep inferior epigastric systems. Plast Reconstr Surg. 1984;73:1–16
  2. Moon HK, Taylor GI. The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system. Plast Reconstr Surg. 1988;82:815–829
  3. Thomas CV. Thin flaps. Plast Reconstr Surg. 1980;65:747–752
  4. Akizuki T, Harii K, Yamada A. Extremely thinned inferior rectus abdominis free flap. Plast Reconst Surg. 1993;91:936–941
  5. Kimura N, Satoh K, Hosaka Y. Microdissected thin perforator flaps: 46 cases. Plast Reconstr Surg. 2003;112:1875–1885
  6. Alonso-Burgos A, Garcia-Tutor E, Bastarrika G, et al. Preoperative planning of deep inferior epigastric artery perforator flap reconstruction with multi-slice-CT angiography: imaging findings and initial experience. J Plast Reconstr Aesthet Surg. 2006;59:585–593
  7. Masia J, Clavero JA, Larranaga JR, et al. Multidetector-row computed tomography in the planning of abdominal perforator flaps. J Plast Reconstr Aesthet Surg. 2006;59:594–599
  8. Hyakusoku H, Gao JH. The “super-thin” flap. Br J Plast Surg. 1994;47:457–464
  9. Alkureishi LW, Shaw-Dunn J, Ross GL. Effects of thinning the anterolateral thigh flap on the blood supply to the skin. Br J Plast Surg. 2003;56:401–408
  10. Nojima K, Brown SA, Acikel C, et al. Defining vascular supply and territory of thinned perforator flaps: part I. Anterolateral thigh perforator flap. Plast Reconst Surg. 2005;116:182–193
  11. Dabernig J, Sorensen K, Shaw-Dunn J, et al. The thin circumflex scapular artery perforator flap. J Plast Reconstr Aesthet Surg. 2007;60:1082–1096
  12. Nojima K, Brown SA, Acikel C, et al. Defining vascular supply and territory of thinned perforator flaps: part II. Superior gluteal artery perforator flap. Plast Reconst Surg. 2006;118:1338–1348
  13. Kimura N, Saitoh M. Free microdissected thin groin flap design with an extended vascular pedicle. Plast Reconstr Surg. 2006;117:986–992
  14. Kim KS, Noh BK, Kim DY, et al. Thin paraumbilical perforator-based cutaneous island flap for scrotal resurfacing. Plast Reconst Surg. 2001;108:447–451
  15. Koshima I, Moriguchi T, Soeda S, et al. Free thin paraumbilical perforator-based flaps. Ann Plast Surg. 1992;29:12–17
  16. Taylor GI, Corlett RJ, Boyd JB. The versatile deep inferior epigastric (inferior rectus abdominis) flap. Br J Plast Surg. 1984;37:330–350
  17. Hallock GG. In Discussion of Eo S, Kim D, Jones NF. Microdissection thinning of a pedicled deep inferior epigastric perforator flap for burn scar contracture of the groin: case report. J Reconstr Microsurg. 2005;21:451–452
  18. Abu-Hijleh MF, Roshier AL, Al-Shboul Q, et al. The membranous layer of superficial fascia: evidence for its widespread distribution in the body. Surg Radiol Anat. 2006;28:606–619
  19. El-Mrakby HH, Milner RH. The vascular anatomy of the lower anterior abdominal wall: a microdissection study on the deep inferior epigastric vessels and the perforator branches. Plast Reconstr Surg. 2002;109:539–543
  20. Taylor GI. Angiosomes of the Human Body. 1990: MD.

PII: S1748-6815(08)00291-X

doi: 10.1016/j.bjps.2008.01.007

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 62, Issue 8 , Pages 986-990 , August 2009

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