The inter-zone perforator flap of the anterolateral abdominal wall: an anatomical study
DONG Dong, ZHANG Wei-wen, TENG Xiao-feng, MEI Jin, WEI Peng
Published 2013-04-10
Cite as Chin J Hand Surg, 2013,29(02): 117-119. DOI: 10.3760/cma.j.issn.1005-054x.2013.02.028
Abstract
Objective To study the course and initial diameter of anterolateral abdominal perforators and the location of choke-vessels among these perforators,and to discuss the dissecting margins and combination options of inter-zone anterolateral abdominal perforator flaps.Methods Five fresh cadavers were perfused with gelatin-lead oxide and then scanned with CT.The scans were subject to the Materialized Interactive Medical Image Controlling System (Mimics) for 3D visualization and reconstruction.Information of the anterolateral abdominal perforators,i.e.the number,anastomosis and perfusion areas of the perforators were obtained.Another 10 embalmed adult cadaver specimens were dissected to observe the anterolateral abdominal perforators with diameter greater than 0.5 mm and measure their diameter,main course and anastomosis branches.Results There were a lot of anastomosing branches between the anterolateral abdominal perforators.The perfusion areas of the combined inter-zone perforator flaps were:(71.5 ± 9.5) cm2 for lower epigastric perforator + superficial iliac circumflex perforator flap,(140.6 ± 10.4) cm2 for superficial epigastric perforator + superficial iliac circumflex perforator flap,and (122.2± 15.2) cm2 for lower epigastric perforator + superficial epigastric perforator flap.Conclusion The number,position and course of the anterolateral abdominal perforators are constant.There are a large number of perforator anastomosis branches which make it suitable to harvest inter-zone perforator flaps with various combination.This provides a new surgical option for harvesting over-ysized flaps.
Key words:
Surgical flaps; Anatomy, regional; 3D reconstruction; Anterlateral abdominal wall
Contributor Information
DONG Dong
Department of Hand Surgery, No.6 Hospital of Ningbo , Ningbo 315040, China
ZHANG Wei-wen
Department of Hand Surgery, No.6 Hospital of Ningbo , Ningbo 315040, China
TENG Xiao-feng
Department of Hand Surgery, No.6 Hospital of Ningbo , Ningbo 315040, China
MEI Jin
Department of Hand Surgery, No.6 Hospital of Ningbo , Ningbo 315040, China
WEI Peng
Department of Hand Surgery, No.6 Hospital of Ningbo , Ningbo 315040, China