Paramuscular and paraneural perforators in DIEAP flaps: Radiographic findings and clinical application

Annals of Plastic Surgery

Volumn 63, Issue 6, 2009, Pages 610-615

  Gravvanis, Andreas ^a   Dionyssiou, Dimitris D ^a   Chandrasekharan, Lekha ^a   Francis, Ian ^a   Smith, Roger W ^a  

^a QUEEN VICTORIA HOSPITAL   (United Kingdom)

Author keywords

DIEAP flap; Donor site morbidity; Paramuscular perforator; Paraneural perforator

Indexed keywords

ABDOMINAL WALL; ANGIOGRAPHY; ARTICLE; BREAST RECONSTRUCTION; COMPUTER ASSISTED TOMOGRAPHY; DISSECTION; HUMAN; INNERVATION; METHODOLOGY; MIDDLE AGED; PLASTIC SURGERY; RECTUS ABDOMINIS MUSCLE; RETROSPECTIVE STUDY; VASCULARIZATION;

ABDOMINAL WALL; ANGIOGRAPHY; DISSECTION; HUMANS; MAMMAPLASTY; MIDDLE AGED; RECTUS ABDOMINIS; RETROSPECTIVE STUDIES; SURGICAL FLAPS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 74249087036     PISSN: 01487043     EISSN: None     Source Type: Journal    
DOI: 10.1097/SAP.0b013e318196cbfc     Document Type: Article

References (17)

1. Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg. 1989;42:645-648.
2. Allen RJ, Treece P. Deep Inferior epigastric artery perforator for breast reconstruction. Ann Plast Surg. 1994;32:32-38.
3. Blondeel PN. One hundred free DIEP flap breast reconstruction: a personal experience. Br J Plast Surg. 1999;52:104-111.
4. Blondeel N, Vanderstraeten GG, Monstrey SJ, et al. The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction. Br J Plast Surg. 1997;50:322-330.
5. Kässmann C, Peek A, Luxenhofer F, et al. Myosonographic evaluation of rectus abdominis muscle function after DIEP flap breast reconstruction [in German]. Handchir Mikrochir Plast Chir. 2002;34:386-394.
6. Futter CM, Webster MH, Hagen S, et al. A retrospective comparison of abdominal muscle strength following breast reconstruction with a free TRAM or DIEP flap. Br J Plast Surg. 2000;53:578-583.
7. Moon HK, Taylor IG. The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system. Plast Reconstr Surg. 1988;82:815-832.
8. Rozen WM, Ashton MW, Murray AC, et al. Avoiding denervation of rectus abdominis flap harvest: the importance of medial row perforators. Plast Reconstr Surg. 2008;122:710-716.
9. Hammond DC, Larson DL, Severinac RN, et al. Rectus abdominis muscle innervation: implications for TRAM flap elevation. Plast Reconstr Surg. 1995;96:105-110.
10. 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.
11. Alonso-Burgos A, Garcia-Tutor E, Bastarrika G, et al. Preoperative planning of deep inferior epigastric artery perforator flap reconstruction with multislice- CT angiography: imaging findings and initial experience. J Plast Reconstr Aesthet Surg. 2006;59:585-593.
12. Masia J, Larrañaga J, Clavero JA, et al. The value of the multidetector row computed tomography for the preoperative planning of deep inferior epigastric artery perforator flap: our experience in 162 cases. Ann Plast Surg. 2008;60:29-36.
13. Bajaj AK, Chevray PM, Chang DW. Comparison of donor-site complications and functional outcomes in free muscle-sparing TRAM flap and free DIEP flap breast reconstruction. Plast Reconstr Surg. 2006;117:737-746.
14. Bonde CT, Lund H, Fridberg M, et al. Abdominal strength after breast reconstruction using a free abdominal flap. J Plast Reconstr Aesthet Surg. 2007;60:519-523.
15. Rozen WM, Palmer KP, Suami H, et al. The DIEA branching pattern and its relationship to perforators: the importance of preoperative computed tomographic angiography for DIEA perforator flaps. Plast Reconstr Surg. 2008; 121:367-373.
16. Vandevoort M, Vranckx J, Fabre G. Perforator topography of the deep inferior epigastric perforator flap in 100 cases of breast reconstruction. Plast Reconstr Surg. 2002;109:1912-1918.
17. Munhoz AM, Ishida LH, Sturtz GP, et al. Importance of lateral row perforator vessels in deep inferior epigastric perforator flap harvesting. Plast Reconstr Surg. 2004;113:517-524.