Study of peculiarities of topographic anatomy of deep epigastric vessels for the purpose of laparoscopic stage of TRAM flap method of breast reconstruction

Sotskiĭ L.V.; Matveev N.L.; Kartasheva A.F.

doi:https://doi.org/

Sotskiĭ L.V.

Kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU im. A.I. Evdokimova

Matveev N.L.

Kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Kartasheva A.F.

Kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU im. A.I. Evdokimova

Study of peculiarities of topographic anatomy of deep epigastric vessels for the purpose of laparoscopic stage of TRAM flap method of breast reconstruction

Authors:

Sotskiĭ L.V., Matveev N.L., Kartasheva A.F.

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Journal: Endoscopic Surgery. 2013;19(3): 35‑38

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To cite this article:

Sotskiĭ LV, Matveev NL, Kartasheva AF. Study of peculiarities of topographic anatomy of deep epigastric vessels for the purpose of laparoscopic stage of TRAM flap method of breast reconstruction. Endoscopic Surgery. 2013;19(3):35‑38. (In Russ.)

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

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Abstract:

To ascertain the topography of deep epigastric vessels, peculiarities of their branching, define number of perforating arteries supplying anterior abdominal wall soft tissues, variants of anastomosis with upper epigastric vessels and to substantiate feasibility of adequate laparoscopic reduction of blood flow dissection of the central portion of anterior abdominal wall in 10 unfixed female cadavers was performed. Reduction of blood flow in deep epigastric vessels - main arteries of TRAM flap causes compensatory enhancement of blood flow in the upper epigastric vessels that improves viability of the transferred flap.

Keywords:

breast reconstruction

TRAM flap

blood flow training

laparoscopic approach

Authors:

Sotskiĭ L.V.

Kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU im. A.I. Evdokimova

Matveev N.L.

Kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Kartasheva A.F.

Kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU im. A.I. Evdokimova

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References:

Aksel' E.M., Davydov M.I. Vestnik RONTs im. N.N. Blokhina RAMN 2009; 20: 3: prilozhenie 1.
Blokhin S.N., Portnoi S.M., Laktionov K.P. Zlokachestvennye opukholi molochnykh zhelez: varianty vypolneniya pervichnoi plastiki v usloviyakh khimioluchevoi terapii. The First International Symposium Plastic and Reconstructive Surgery in Oncology. M 1997; 135.
Burlakov A.S., Radlevich V.V. Odnomomentnoe vosstanovlenie grudi TRAM-loskutom pri radikal'nykh operatsiyakh po povodu raka molochnoi zhelezy. Annaly plastiches-koi rekonstruktivnoi esteticheskoi khirurgii 1997; 3: 52-58.
Beasley M. The pedicled TRAM as preference for immediate autogenous tissue breast reconstruction. Ann Plast Surg 1993; 31: 2: 98-100.
Roy C., Brown J. The blood-pressure and its variations in the arterioles, capillaries and smaller veins. J Physiol 1879; 2: 323-326.
Ozgentas H.E., Shenaq S., Spira M. Study of the delay phenomenon in the rat TRAM flap model. Plast Reconstr Surg 1994; 94: 1018.
Restifo R., Ward B., Scoutt L. Timing, magnitude and utility of surgical delay in the TRAM flap: Clinical studies. Plast Reconstr Surg 1997; 99: 5: 1217-1223.
Dorion D., Boyd J., Pang C. Augmentation of transmidline skin perfusion and viability in transverse rectus abdominis myocutaneous (TRAM) flaps in the pig. Plast Reconstr Surg 1991; 88: 642-651.
Scheflan M., Dinner M.I. The transverse abdominal island flap: Part I. Indications, contraindications, results and complications. Ann Plast Surg 1983; 10: 24.
Harry K. Moon, G. Ian Teylor. The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system. Plast Reconstr Surg 1988; 82: 815.
Wei Fu Chan, Mordini S. Flaps and reconstructive surgery. Elsevier 2009; 206-223.