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Topographic-anatomical study of using «SIEA» flap for breast reconstruction

https://doi.org/10.21626/vestnik/2016-4/15

Abstract

The features of constitutional and variant anatomy of the superficial epigastric vessels were studied. 40 female cadavers having died at the age of 53.8±4.4 years were examined. Before autopsy the length of inguinal ligament was measured on each corpse.During autopsy the location of superficial epigastric artery and vein was determined relative to the mid-level of inguinal ligament. Then the diameter of the superficial epigastric artery and vein was measured at the level of the inguinal ligament. In the investigated dissected material the superficial epigastric artery was observed in 90% and vein - in 100% of cases. The distance between the superficial epigastric artery and vein at the level of inguinal ligament was 1.6±0.5 cm. The diameter of the superficial epigastric artery at the level of the inguinal ligament was 1.7±0.2 mm and vein - 2.1±0.4 mm. The correlation between the length of inguinal ligament and the distance between the superficial epigastric vessels at the level of inguinal ligament (r=0.75; p=0.01) was established.

About the Authors

A. V. Chernykh
N.N. Burdenko Voronezh State Medical University
Russian Federation


E. I. Zakurdaev
N.N. Burdenko Voronezh State Medical University
Russian Federation


N. V. Yakusheva
N.N. Burdenko Voronezh State Medical University
Russian Federation


M. P. Zakurdaeva
N.N. Burdenko Voronezh State Medical University
Russian Federation


References

1. Бежин А.И., Должиков А.А., Жуковский В.А., Нетяга А.А., Плотников Р.В. Экспериментальное обоснование применения новых поливинилиденфторидных эндопротезов с карбиновым покрытием для герниопластики // Вестник новых медицинских технологий. - 2007. - № 1. - С. 99-101.

2. Соколов Д.А., Кварацхелия А.Г. Случай аномального строения локтевой артерии // Журнал анатомии и гистопатологии. - 2014. - № 3. - С. 71-72.

3. Судаков Д.В., Коровин Е.Н., Родионов О.В., Судаков О.В., Фурсова Е.А. Выбор тактики лечения осложнений сахарного диабета на основе нейросетевого моделирования // Системный анализ и управление в биомедицинских системах. - 2014. - Т. 13, № 3. - С. 592-597.

4. Черных А.В., Витчинкин В.Г., Якушева Н.В., Малеев Ю.В., Закурдаев Е.И., Болотских В.А., Спицын В.В. Высокое отхождение лучевой и локтевой артерий // Журнал анатомии и гистопатологии. - 2014. - Т. 3, № 3. - С. 63-65.

5. Coroneos C.J., Heller A.M., Voineskos S.H., Avram R. SIEA versus DIEP Arterial Complications: A Cohort Study // Plast Reconstr Surg. - 2015. - Vol. 135, N 5. - P. 802-807.

6. Fathi M., Hatamipour E., Fathi H.R., Abbasi A. The anatomy of superficial inferior epigastric artery flap // Acta Cir Bras. - 2008. - Vol. 23, N 5. - P. 429-434.

7. Fukaya E., Kuwatsuru R., Iimura H., Ihara K., Sakurai H. Imaging of the superficial inferior epigastric vascular anatomy and preoperative planning for the SIEA flap using MDCTA // J Plast Reconstr Aesthet Surg. - 2011. - Vol. 64, N 1. - P. 63-68.

8. Kim B.J., Choi J.H., Kim T.H., Jin U.S., Minn K.W., Chang H. The superficial inferior epigastric artery flap and its relevant vascular anatomy in korean women // Arch Plast Surg. - 2014. - Vol. 41, N 6. - P. 702-708.

9. Park J.E., Shenaq D.S., Silva A.K., Mhlaba J.M., Song D.H. Breast Reconstruction with SIEA Flaps: A Single-Institution Experience with 145 Free Flaps // Plast Reconstr Surg. - 2016. - Vol. 137, N 6. - P. 1682-1689.

10. Reardon C.M., O'Ceallaigh S., O'Sullivan S.T. An anatomical study of the superficial inferior epigastric vessels in humans // Br J Plast Surg. - 2004. - Vol. 57, N 6. - P. 515-519.

11. Sarik J.R., Bank J., Wu L.C., Serletti J.M. Superficial Inferior Epigastric Artery: Learning Curve versus Reality // Plast Reconstr Surg. - 2016. - Vol. 137, N 1. - P. 1-6 - doi: 10.1097/PRS.0000000000001852.

12. Selber J.C., Samra F., Bristol M., Sonnad S.S., Vega S., Wu L., Serletti J.M. A head-to-head comparison between the muscle-sparing free TRAM and the SIEA flaps: is the rate of flap loss worth the gain in abdominal wall function? // Plast Reconstr Surg. - 2008. - Vol. 122, N 2. - P. 348-355. - doi: 10.1097/PRS.0b013e31817d60b0.

13. Wang X., Zhang K., Ma S., Meng Z. Applied anatomy of superficial inferior epigastric artery flap // Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. - 2010. - Vol. 24, N 11. - P. 1357-1360.


Review

For citations:


Chernykh A.V., Zakurdaev E.I., Yakusheva N.V., Zakurdaeva M.P. Topographic-anatomical study of using «SIEA» flap for breast reconstruction. Kursk Scientific and Practical Bulletin "Man and His Health". 2016;(4):89-93. (In Russ.) https://doi.org/10.21626/vestnik/2016-4/15

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ISSN 1998-5746 (Print)
ISSN 1998-5754 (Online)