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Circummuscular variant of the deep inferior epigastric perforator in breast reconstruction: importance of preoperative multidetector computed tomographic angiography

Cited 11 time in Web of Science Cited 12 time in Scopus
Authors
Heo, Chanyeong; Yoo, Jihan; Minn, Kyungwon; Kim, Sungwon
Issue Date
2008-07-30
Publisher
Springer Verlag
Citation
Aesthetic Plast Surg. 2008 ;32(5):817-9.
Keywords
AdultAngiography/*methodsBreast Neoplasms/pathology/surgeryEpigastric Arteries/*abnormalities/surgeryFemaleFollow-Up StudiesGraft SurvivalHumansMagnetic Resonance ImagingMammaplasty/adverse effects/*methodsMastectomy, Radical/methodsPreoperative CareRectus Abdominis/*blood supply/surgeryRisk AssessmentSentinel Lymph Node Biopsy/methodsSurgical Flaps/blood supply*Tomography, X-Ray ComputedTreatment OutcomeWound Healing
Abstract
The deep inferior epigastric artery perforator is reliable and widely used in breast reconstruction. The anatomy and course of deep inferior epigastric vessels and their branches are relatively constant and well understood. However, some published cases with a direct perforating pattern and no intramuscular traveling were identified. A case involving a circummuscular variant of a deep inferior epigastric artery perforator is described as well as its clinical importance. This apprises clinicians who perform a transverse rectus abdominis muscle free flap procedure that there can be a rare circummuscular pedicle variant and that it is vulnerable to injury.
ISSN
1432-5241 (Electronic)
0364-216X (Print)
Language
English
URI
http://hdl.handle.net/10371/62654
DOI
https://doi.org/10.1007/s00266-008-9219-6
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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