scholarly journals The anatomy of superficial inferior epigastric artery flap

2008 ◽  
Vol 23 (5) ◽  
pp. 429-434 ◽  
Author(s):  
Mahdi Fathi ◽  
Ebrahim Hatamipour ◽  
Hamid Reza Fathi ◽  
Ali Abbasi
Keyword(s):  
Common Femoral Artery ◽  
Anatomical Variations ◽  
Inguinal Ligament ◽  
Common Trunk ◽  
Inferior Epigastric Artery ◽  
Hemifacial Atrophy ◽  
Flap Transfer ◽  
Epigastric Artery ◽  
Siea Flap ◽  
Muscle Sparing

PURPOSE: To describe the anatomical variations of superficial inferior epigastric artery (SIEA) flap as a muscle-sparing flap. METHODS: A series of 40 dissections were performed on 20 preserved or fresh male cadavers. The site origin and drainage of vessels, caliber, length, and correlation between diameter and length of pedicle were identified. RESULTS: The SIEA and SIEV were identified at inguinal ligament level in 38 (95%) and 40 (100%) dissections, respectively. The SIEA originated directly from a common femoral artery 22 (57.9%) or a common trunk with other arteries. The SIEA was found within 1 cm of the midpoint of the inguinal ligament in 33 of 38 cases. The meanSD length of SIEA was 3.041.73 (0.5-7) cm. The meanSD caliber of SIEA was 1.450.35 (0.7-2.1) mm. The length of SIEV ranged from 2.2 to 12 cm with a meanSD of 5.452.08 cm. The caliber of SIEV ranged from 1.6 to 4 mm with a meanSD of 2.140.45 mm. The length of SIEA correlated with caliber of arterial pedicle (p<0.001 and correlation coefficient = 0.517). CONCLUSION: The inferior epigastric artery flap can be applied to microsurgical flap transfer, potentially in breast reconstruction, hemifacial atrophy, phalloplasty, or when extremely large amounts of skin coverage are required.

scholarly journals Orienting the superficial inferior epigastric artery (SIEA) pedicle in a stacked SIEA-deep inferior epigastric perforator free flap configuration for unilateral tertiary breast reconstruction

2020 ◽  
Vol 47 (5) ◽  
pp. 473-482
Author(s):  
Ya-han Yu ◽  
Dina Ghorra ◽  
Christine Bojanic ◽  
Oti N. Aria ◽  
Louise MacLennan ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Free Flaps ◽  
Inferior Epigastric Artery ◽  
Skin Paddle ◽  
Epigastric Artery ◽  
Internal Mammary ◽  
Siea Flap ◽  
Deep Inferior Epigastric Perforator ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing

Superficial inferior epigastric artery (SIEA) flaps represent a useful option in autologous breast reconstruction. However, the short-fixed pedicle can limit flap inset options. We present a challenging flap inset successfully addressed by de-epithelialization, turnover, and counterintuitive rotation. A 47-year-old woman underwent left tertiary breast reconstruction with stacked free flaps using right deep inferior epigastric perforator and left SIEA vessels. Antegrade and retrograde anastomoses to the internal mammary (IM) vessels were preferred; additionally, the thoracodorsal vessels were unavailable due to previous latissimus dorsi breast reconstruction. Optimal shaping required repositioning of the lateral ends of the flaps superiorly, which would position the ipsilateral SIEA hemi-flap pedicle lateral to and out of reach of the IM vessels. This problem was overcome by turning the SIEA flap on its long axis, allowing the pedicle to sit medially with the lateral end of the flap positioned superiorly. The de-epithelialized SIEA flap dermis was in direct contact with the chest wall, enabling its fixation. This method of flap inset provides a valuable solution for medializing the SIEA pedicle while maintaining an aesthetically satisfactory orientation. This technique could be used in ipsilateral SIEA flap breast reconstructions that do not require a skin paddle, as with stacked flaps or following nipple-sparing mastectomy.

The Superficial Inferior Epigastric Artery (SIEA) Flap

2006 ◽  
Vol 57 (6) ◽  
pp. 593-596 ◽  
Author(s):  
Dolores Wolfram ◽  
Thomas Schoeller ◽  
Heribert Hussl ◽  
Gottfried Wechselberger
Keyword(s):  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Siea Flap

scholarly journals The inferior epigastric artery arising from the internal iliac artery via a common trunk with the obturator artery

2012 ◽  
Vol 45 (4) ◽  
pp. 285 ◽  
Author(s):  
Hyung-Sun Won ◽  
Hyung-Jin Won ◽  
Chang-Seok Oh ◽  
Seung-Ho Han ◽  
In-Hyuk Chung ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Trunk ◽  
Inferior Epigastric Artery ◽  
Obturator Artery ◽  
Epigastric Artery ◽  
Internal Iliac

Intraoperative Observation during Total Extraperitoneal Repair (TEP)

2020 ◽  
Vol 86 (2) ◽  
pp. 146-151
Author(s):  
Lisheng Wu ◽  
Junsheng Li ◽  
Ran Miao
Keyword(s):  
Umbilical Artery ◽  
Vas Deferens ◽  
Rectus Sheath ◽  
Anatomical Variations ◽  
Preperitoneal Space ◽  
Anatomical Landmarks ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Posterior Rectus Sheath ◽  
Total Extraperitoneal

We aim to observe and dissect the essential anatomical landmarks in totally extraperitoneal (TEP) procedures. Forty-six TEP procedures in 30 patients were prospectively performed in our department. During the dissection of the preperitoneal space, the following distances between landmarks were measured. D1: the distance from pubic symphysis to the arcuate line in the midline; D2: the distance from the inferior epigastric artery to the lateral border of the arcuate line (before sharp incision was performed); D3: as in D2 (but after sharp incision was performed); D4: the distance from the inferior epigastric artery to the crossing site of vas deferens and obliterated umbilical artery. Furthermore, the morphology of the posterior rectus sheath was documented. The corresponding distance between the anatomical landmarks varied greatly in each individual. D1: 8 ± 1.6 cm (range 4–10 cm). D2: 4.9 ± 0.8 cm (3.5–7 cm). D3: 6.8 ± 0.9 cm (5–9 cm). D4: 6.1 ± 1 cm (4.8–8.5 cm). Complete rectus sheath was found in 30.4 per cent (14/46) of the hernias. Anatomical variations were common in preperitoneal space. The crossing site of vas deferens and obliterated umbilical artery can serve as a landmark for dissection. Complete rectus was present in one-third of hernias, which necessitates a sharp incision for entering the correct lateral preperitoneal space.

Breast reconstruction using the free superficial inferior epigastric artery (SIEA) flap

1999 ◽  
Vol 52 (4) ◽  
pp. 276-279 ◽  
Author(s):  
Z.M. Arnez ◽  
U. Khan ◽  
D. Pogorelec ◽  
F. Planinsek
Keyword(s):  
Breast Reconstruction ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Siea Flap
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