Abstract: 16.40 Exploiting More Superficial Inferior Epigastric Artery (Siea) Flaps: Increasing Numbers With The Wow-Manoeuvre - Size Does Not Matter
نویسندگان
چکیده
INTROduCTION: Historically the use of the SIEA flap is limited by a short pedicle with a smalldiameter artery. The use of the SIEA flap was proven less reliable when the SIEA diameter was less than 1.5mm at the level of the lower abdominal incision with an increase in arterial thrombotic complications. Although favorable results have been published with the use of small caliber vessels as well. Technical tips to increase the successful use of this flap have been described, however, the vessel mismatch with the internal mammary vessels remains an important consideration. The author introduces the application of the Wowmanoeuvre as an answer to both the small diameter and the vessel discrepancy issues related to SIEA flap transfer.
منابع مشابه
ANATOMY OF THE SUPERFICIAL INFERIOR EPIGASTRIC ARTERY FLAP
ABSTRACT Background: Several case studies have described the use of the superficial inferior epigastric artery (SIEA) flap as a pedicled flap for reconstruction of upper and lower ex tremities, or a free fasciocutaneous flap when a large amount of skin coverage is required for hemifacial atrophy, breast or head and neck reconstruction. Apparently, the anatomical findings of previous studies ar...
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Superficial inferior epigastric artery (SIEA) flap salvage remains challenging, particularly in cases of arterial insufficiency due to vessel spasm, pedicle kinking, or thrombosis. The already small, short SIEA pedicle, in addition to its inherent tendency toward spasm, renders the SIEA flap more difficult to manage when anastomotic revision is required. Furthermore, arterial thrombosis will ca...
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The importance of the venous drainage of the anterior abdominal wall to free tissue transfer in deep inferior epigastric artery perforator flap surgery has been highlighted in several recent publications in this journal, however the same attention has not been given to superficial inferior epigastric artery (SIEA) flaps, in which the flap necessarily relies on the superficial venous drainage. W...
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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...
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عنوان ژورنال:
دوره 5 شماره
صفحات -
تاریخ انتشار 2017