کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4120727 1270376 2008 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Epiperitoneal vessels: more resources to perform DIEP flaps
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Epiperitoneal vessels: more resources to perform DIEP flaps
چکیده انگلیسی

SummaryThe development of the DIEP flap established an accepted concept of reconstructive surgery, but in patients who demonstrate inadequate in vivo flap perfusion, alternative surgical options to improve vascularisation are limited. We present a 42-year-old patient, with a left mastectomy whose breast was reconstructed with a DIEP flap. After anastomosis to the internal mammary vessels there was insufficient arterial perfusion of the flap. The situation was resolved by using an independent medial perforator artery emerging from the peritoneal layer (epiperitoneal vessels). This new pedicle was anastomosed end-to-end to the distal portion of the inferior epigastric artery.We consider that epiperitoneal vessels can be an emergency pedicle when needed and a possible alternative to the main pedicle of the DIEP flap.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 61, Issue 7, July 2008, Pages 826–829
نویسندگان
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