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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Byung Jun (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) Choi, Jun Ho (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) Kim, Tae Hoon (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) Jin, Ung Sik (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) Minn, Kyung Won (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) Chang, Hak (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제6호
발행연도
2014.1
수록면
702 - 708 (7page)

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Background Lower abdominal soft tissue transfer is the standard procedure for breast reconstruction. However, abdominal wall weakness and herniation commonly occur postoperatively at the donor site. To reduce the morbidities of the donor site, the superficial inferior epigastric artery (SIEA) flap was introduced, but inconsistent anatomy of the SIEA has reduced its utility. In the present study, the anatomy of the superficial inferior epigastric vessels in Korean women was determined with regards to breast reconstructive surgery. Methods The vascular anatomies of the SIEA and superficial inferior epigastric vein (SIEV) were evaluated on 32 breast cancer patients receiving free transverse rectus abdominis musculocutaneous flap reconstruction after mastectomy. The existence, pulsation, location, external diameter, and depth of the SIEA and SIEV were measured at the lower abdominal incision level. Results SIEA and SIEV were present in 48/64 (75.00%) and 63/64 (98.44%) hemi-abdomens, respectively. Pulsation of the SIEA was found in 44/48 (91.67%) cases. The mean locations of SIEA and SIEV were +5.79 (${\pm}12.87$) mm, and -8.14 (${\pm}15.24$) mm from the midpoint between the anterior superior iliac spine and symphysis pubis, respectively. The mean external diameters of SIEA and SIEV were 1.20 (${\pm}0.39$) mm and 1.37 (${\pm}0.33$) mm, and they were found at a mean depth of 9.75 (${\pm}2.67$) mm and 8.33 (${\pm}2.65$) mm, respectively. Conclusions The SIEA was absent in 25% of Korean women and had a relatively small caliber. Therefore, careful preoperative assessment of the lower abdominal vasculature is required to achieve successful breast reconstruction using SIEA flaps.
#Epigastric arteries #Regional anatomy #Koreans #Breast reconstruction

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참고문헌 (25)

참고문헌 신청
Spiegel AJ / 2007 / An Intraoperative algorithm for use of the SIEA flap for breast reconstruction / Plast Reconstr Surg 120:1450~1459 google schola Reardon CM / 2004 / An anatomical study of the superficial inferior epigastric vessels in humans / Br J Plast Surg 57:515~519 google schola Selber JC / 2008 / 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 122:348~355 google schola Zenn MR / 2006 / Insetting of the superficial inferior epigastric artery flap in breast reconstruction / Plast Reconstr Surg 117:1407~1411 google schola Taylor GI / 1975 / The anatomy of several free flap donor sites / Plast Reconstr Surg 56:243~253 google schola

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