Superior Epigastric Artery: Safety Zones for Pedicle TRAM Flap Reconstruction: A Case Series

Authors

  • Suragit Pornchai Department of Surgery, Saraburi Hospital, Thailand
  • Prakasit Chirappapha Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Watoo Vassanasiri Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Monchai Leesombatpaiboon Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Panya Thaweepworadej Department of Surgery, Bangkok Metropolitan Administration General Hospital, Bangkok, Thailand
  • Chairat Supsamutchai Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Thongchai Sukarayothin Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Keywords:

Immediate autologous flap reconstruction, Deep superior epigastric artery, Transverse rectus abdominis musculocutaneous flap

Abstract

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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Published

2019-09-30

How to Cite

1.
Pornchai S, Chirappapha P, Vassanasiri W, Leesombatpaiboon M, Thaweepworadej P, Supsamutchai C, Sukarayothin T. Superior Epigastric Artery: Safety Zones for Pedicle TRAM Flap Reconstruction: A Case Series. Thai J Surg [Internet]. 2019 Sep. 30 [cited 2024 Nov. 6];40(3):53-7. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243917

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Original Articles