Superior Epigastric Artery: Safety Zones for Pedicle TRAM Flap Reconstruction: A Case Series
Keywords:
Immediate autologous flap reconstruction, Deep superior epigastric artery, Transverse rectus abdominis musculocutaneous flapAbstract
Deep superior epigastric artery (DSEA) can be damaged in pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction. Current descriptions of the course of the DSEA do not provide surface landmarks that would be of help to the surgeon. Surface markings of the deep inferior epigastric artery (DIEA) with description safe zones of the TRAM flap are available in the literature, but this is not the case for the DSEA. This study aimed to map surface markings for the DSEA and identify the “danger zone”, which must be avoided during pedicled TRAM flap reconstruction.
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