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.

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

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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.)

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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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