Before and after right skin-sparing mastectomy for invasive ductal carcinoma with immediate deep inferior epigastric perforator (DIEP) flap reconstruction and left mastopexy. (medscape.com)
Deep Inferior Epigastric Perforator (DIEP) breast reconstruction is an advanced microsurgery procedure that rebuilds the shape of a breast compromised during a mastectomy. (drmichaelhoward.com)
DIEP reconstructions utilize perforator veins- the smaller more superficial veins that travel from deeper veins and through muscles, to nourish the outer layers of our tissue, like fat and skin. (drmichaelhoward.com)
Background: The deep inferior epigastric perforator flap (DIEP) is the current standard of care in autologous breast reconstruction. (umanitoba.ca)
DIEP, Deep Inferior Epigastric Perforator Artery, is found in the abdomen. (dramitmulay.com)
The DIEP flap (superficial inferior epigastric perforator) is similar to a DIEP flap, except that blood vessels in the belly are moved along with the fat and skin, and the abdominal muscles are spared. (dramitmulay.com)
The first large perforator that is often referred to as the superficial superior epigastric arter y is oftentimes produced by this artery at the costal margin. (earthslab.com)
This perforator bears no resemblance to the superficial inferior epigastric artery and is created by the deep system. (earthslab.com)
DIEP/SIEA (deep inferior epigastric perforator/superficial inferior epigastric artery) flap: Skin and tissue is removed from the lower abdominal midsection. (plasticsurgeryelpaso.net)
This video depicts the microvascular anastomosis of the deep inferior epigastric artery and vein to the internal mammary artery and vein in an anterograde fashion for a delayed bilateral deep inferior epigastric perforator (DIEP) flap reconstruction in a 53-year-old female patient status post bilateral mastectomy for breast cancer. (csurgeries.com)
2 The Deep Inferior Epigastric Perforator (DIEP) flap has now become the most common autologous approach to breast reconstruction. (csurgeries.com)
Dr. Light explained that Free Transverse Rectus Abdominis Muscle (TRAM) flaps, Muscle Sparing TRAM flaps, Deep Inferior Epigastric Perforator (DIEP) flaps, and Superficial Inferior Epigastric Artery (SIEA) flaps were the most common abdominal free flaps used for breast reconstruction. (nybra.com)
At our Elite Plastic Surgery, we will discuss during a private consultation if you are a candidate for DIEP (deep inferior epigastric perforator) or SIEP (superficial inferior epigastric perforator) flap reconstruction, as there are many techniques to choose from depending on your body type, and aesthetic goals. (eliteplasticsurgeryaz.com)
Other: CTA with iodine contrast in preoperative perforator vessels mapping for deep inferior epigastric perforator (DIEP) flap breast reconstruction planning. (who.int)
Other: Non-contrast MRA in preoperative perforator vessels mapping for deep inferior epigastric perforator (DIEP) flap breast reconstruction planning. (who.int)
SIEA7
The purpose of this article is to present the first reported case of a 70-year-old woman with a large ATL donor site defect, not responsive to direct primary closure, which was successfully reconstructed using a superficial inferior epigastric artery (SIEA) interpolated flap. (bvsalud.org)
End-to-end anastomosis of the Superficial Inferior Epigastric Artery (SIEA) and Vein (SIEV). (clevelandclinic.org)
The superficial inferior epigastric artery (SIEA) flap allows for harvest of the lower abdominal fatty tissue based on the superficial inferior epigastric system. (penelopethemovie.com)
On the contralateral side, the superficial inferior epigastric artery (SIEA) and the superficial inferior epigastric vein (SIEV) are demonstrated. (penelopethemovie.com)
Slightly more cranial to these vessels and originating on the external iliac artery, is the origin of the superficial inferior epigastric artery (SIEA). (microsurgeon.org)
The newer superficial inferior epigastric artery flap (SIEA) is felt to be an improvement as it does not damage the abdominal wall. (umanitoba.ca)
The SIEA, a superficial inferior epigastric artery blood vessel, is present underneath the lower abdomenskin. (dramitmulay.com)
DIEP1
The blood supply, Superficial Inferior Epigastric Artery, does not run through the abdominal musculature like the DIEP flap and therefore no violation of the abdominal fascia and muscle is needed at all. (atlantabreastreconstruction.com)
Vein15
The veins are named in the same way with a superficial, superior and inferior epigastric vein. (wikipedia.org)
The inferior epigastric vein drains into the external iliac vein near its lower end just above the inguinal ligament. (penelopethemovie.com)
The external and internal oblique muscular fascia is divided superficial to and along the course of the artery and vein. (microsurgeon.org)
Practice interpositional vein graft using epigastric vein and femoral artery. (invivox.com)
Groin free tissue flap using interior superficial epigastric artery and vein and 11-0 nylon. (invivox.com)
The separation of these two layers of the superficial fascia is occasioned by the presence between them of the inguinal and superficial subinguinal lymph glands, the great saphenous vein and its tributaries, and some small arteries. (co.ma)
that is, the deep circumflex iliac and inferior epigastric veins open into it, close to its commencement, whilst, in addition, it freSuperficial epigastric vein quently receives the pubic vein. (co.ma)
Commencing in the obturator canal, it ascends, along the pubic branch of the inferior epigastric artery, to reach the external iliac vein. (co.ma)
Venous anastomosis between the deep inferior epigastric (DIE) vein and internal mammary vein was facilitated through use of a venous coupler. (csurgeries.com)
Azygos vein include posterior intercostal veins, and veins of vertebral column.Posterior intercostal veins include intervertebral vein.Veins of vertebral column include anterior internal vertebral venous plexus, which include basivertebral veins, anterior spinal veins, posterior spinal veins.Veins of upper limb include subclavian vein, axillary vein, superficial veins of upper limb, deep veins of upper limb.Axillary vein include subscapular vein, circumflex scapular vein, lateral thoracic vein. (allenyoung.dev)
Internal pudendal vein include deep veins of clitoris, deep veins of penis, and inferior rectal veins.External iliac vein include inferior epigastric vein, deep circumflex iliac vein.Veins of lower limb include superficial veins of lower limb, and deep veins of lower limb.Superficial veins of lower limb include great saphenous vein, and small saphenous vein. (allenyoung.dev)
Ileocolic vein include appendicular vein.Splenic vein include left gastro-omental vein, and inferior mesenteric vein. (allenyoung.dev)
Inferior mesenteric vein include left colic vein, sigmoid veins, superior rectal vein. (allenyoung.dev)
Inclusion of superficial vein(s) in the flap. (who.int)
The inferior epigastric vessels give off several branches that supply the skin and muscles of the anterior abdominal wall, the deep structures of the abdominal wall and the spermatic cord. (penelopethemovie.com)
If a skin paddle is to be harvested, we find the superficial circumflex vessels so that the skin paddle can be isolated on this pedicle. (microsurgeon.org)
However, the blood vessels that are harvested are superficial, rather than deep, which allows Dr. Howard to access these resources without disturbing the muscle. (drmichaelhoward.com)
In this course, students will brush up on the microsurgical skills they have learned in the Basic Microsurgery course, and then perform procedures incorporating the femoral and epigastric vessels (0.3-1.0 mm diameter), carotid vessels, and various free tissue transfers. (invivox.com)
Using forceps from this position, narrow branches that enter the posterior rectus sheath from the inferior epigastric vessels are dissected, thereby broadly exposing the anterior surface of the posterior rectus sheath. (sages.org)
Lymphatic drainage of the skin of the scrotum is by the external pudendal vessels to the medial superficial inguinal lymph nodes. (medscape.com)
The skin cephalad to the inguinal ligament is backed by Camper fascia, which is a layer of fat-containing tissue of varying thickness and the superficial vessels to the skin that run through it. (medscape.com)
A flap model containing both muscle and skin based on the inferior superficial epigastric vessels was designed with the blood supplied directly from the cutaneous arteriolar microcirculatory system, A total of 154 male Wistar Albino rats were divided into three groups. (istanbul.edu.tr)
Group I included the standard vertical rectus abdominis musculocutaneous flap based on the superior deep epigastric vessels (N = 48), Group II included the acute cutaneous muscle flap (N = 53). (istanbul.edu.tr)
The skin and fat is removed from the abdomen via a tummy tuck incision while keeping the blood supply attached via the Deep Inferior Epigastric Vessels. (atlantabreastreconstruction.com)
Yamamoto T, Yamamoto N, Hayashi A , Koshima I. Supermicrosurgical deep lymphatic vessel-to-venous anastomosis for a breast cancer-related arm lymphedema with severe sclerosis of superficial lymphatic vessels. (lymphedema.tokyo)
Femoral artery5
The superficial epigastric artery is a small branch of the femoral artery. (penelopethemovie.com)
The SCIA and DCIA may have a common origin from the external iliac/superficial femoral artery. (microsurgeon.org)
It receives tributaries which correspond with the branches of the femoral artery and the larger of the two superficial veins of the lower extremity, viz. (co.ma)
Arterial sheath placement into the CFA, and not the deep or superficial femoral artery (SFA), has been shown to decrease access complications. (thoracickey.com)
The arteries are labeled as follows: (A) deep circumflex iliac artery, (B) inferior epigastric artery, (C) profunda femoris artery, and (D) superficial femoral artery. (thoracickey.com)
Lateral9
[ 11 ] Its key features include limited direct undermining, increased lateral skin resection with high tension wound closure along lateral limbs, and 2-layer superficial fascial system (SFS) repair. (medscape.com)
The deep inferior epigastric artery arises from the external iliac artery and runs from lateral to medial under the rectus muscle. (penelopethemovie.com)
During its course above the arcuate line, the inferior epigastric artery is reflected on the parietal peritoneum as bilateral raised ridges called the lateral umbilical folds. (penelopethemovie.com)
In the groin it is divisible into two layers: a superficial fatty layer, continuous with a similar layer on the anterior surface of the abdominal wall above, and over the perineum medially, and a deeper membranous layer, which is attached above to the medial half of the inguinal ligament, and to the deep fascia of the thigh just distal to the lateral half of that ligament. (co.ma)
The superior epigastric artery gives lateral as well as medial branches and also it anastomoses around 4 cm above the umbilicus along with sections of the inferior epigastric artery. (earthslab.com)
The ductus deferens traverses the superficial inguinal ring, coursing through the inguinal canal, and enters the pelvis through the deep inguinal ring lateral to the inferior epigastric artery. (mhmedical.com)
The superficial veins of the sole of the foot form a fine plexus, immediately under cover of the skin, from which anterior, medial, and lateral efferents pass. (co.ma)
The first gives branches to the adductor brevis and magnus, biceps femoris and gluteus maximus and anastomoses with the inferior gluteal, medial and lateral femoral circumflex. (passmed.uk)
The scrotum has a rich sensory nerve supply that includes the genital branch of the genitofemoral nerve (anterior and lateral scrotal surfaces), the ilioinguinal nerve (anterior scrotal surface), posterior scrotal branches of the perineal nerve (posterior scrotal surface), and the perineal branch of the posterior femoral cutaneous nerve (inferior scrotal surface). (medscape.com)
As a flat muscle, the vascular supply of the transversus abdominis includes the posterior intercostal and subcostal arteries, superior and inferior epigastric arteries, superficial and deep circumflex arteries and posterior lumbar arteries. (radiopaedia.org)
Lower posterior intercostal and subcostal arteries, superior and inferior epigastric arteries, superficial and deep circumflex arteries, posterior lumbar arteries. (rehabmypatient.com)
Bilateral testicular arteries originating from the aorta, just inferior to the renal arteries, provide arterial supply to the testes. (medscape.com)
The posterior sheath is formed by the posterior leaf of the internal and the transversus abdominis aponeuroses and bears the superior and inferior epigastric arteries and their anastomotic network. (gynecoloncol.com)
Firstly, the inferior and superior epigastric arteries form a longitudinal anastomosis, which is called the deep epigastric arcade. (gynecoloncol.com)
The course of the inguinal ligament is noted and the superficial circumflex iliac artery can be found with a pencil Doppler if desired. (microsurgeon.org)
The attachment of the deeper layer of the fascia to the pubic arch and the inguinal ligament cuts off the superficial tissues of the thigh from the perineum and the abdominal wall, and prevents the passage into the thigh of fluid collected in the perineum or beneath the fascia of the abdominal wall. (co.ma)
The inferior epigastric artery courses toward the inguinal ligament, then turns upwards in a U-shape configuration. (thoracickey.com)
The lowest point of the inferior epigastric artery corresponds to the inguinal ligament. (thoracickey.com)
The DCIA may take origin from the external iliac artery alone, or with a common trunk that provides both the DCIA and the SCIA (superficial circumflex iliac artery). (microsurgeon.org)
Anastomosis1
Where does the inferior epigastric artery anastomosis end? (penelopethemovie.com)
Fascia5
The superficial fascia of the thigh and buttock is continuous above with the fascia of the abdomen and back, medially with that of the perineum, and distally with that of the leg. (co.ma)
In the buttock the superficial fascia is of considerable thickness, and is usually loaded with fat, whereby it assists in forming the contour of the buttock and the fold of the nates. (co.ma)
It is covered by the superficial fascia, and by a special layer of fascia, the fascia cribrosa, a thin perforated lamina attached to the margins of the opening. (co.ma)
Utilizing this mechanism, the posterior rectus sheath aponeurosis and the lining transverse fascia and superficial preperitoneal layer are individually identified. (sages.org)
Inferior epigastric artery superficial fascia erectile tissue the anterior neck muscles and may be associated with benign prostatic enlargement is hydrocele, an excessive accumulation of polyols, especially sorbitol, which in turn associated with. (ben.edu)
Medial2
The superior epigastric artery goes into the medial posterior side of the rectus abdominis muscle and also passes through the posterior rectus sheath at the back of the seventh costal cartilage. (earthslab.com)
En route to the ejaculatory duct, the ductus deferens crosses the medial side of the umbilical artery and the obturator neurovascular structures. (mhmedical.com)
Veins1
The superficial veins on the dorsal aspect of each toe unite to form two dorsal special digital veins, which run along the borders of the dorsal surface. (co.ma)
Occasionally, the flow from the superficial system may be more robust than that of the deep inferior epigastric system. (penelopethemovie.com)
The superior epigastric artery by entering the gap between the costal and xiphoid slips at the start of the diaphragm goes inside the rectus and also enters deep to the rectus abdominis . (earthslab.com)
The superior epigastric artery afterwards creates branches inside the rectus abdominis muscle and creating choke anastomoses or often a true arterial attachment on or around the level of the midpoint among the xiphisternum and umbilicus , proceeds caudally to connect with an equivalent member of the deep inferior epigastric artery. (earthslab.com)
The layers deep to the dartos muscle are supplied by the cremasteric branch of the inferior epigastric artery. (medscape.com)
This infectious process involves the superficial and deep fascial planes of the genitalia. (medscape.com)
Because Fournier gangrene is predominately an infectious process of the superficial and deep fascial planes, understanding the anatomic relationship of the skin and subcutaneous structures of the perineum and abdominal wall is important. (medscape.com)
Posterior1
The posterior and inferior aspect contributes fibers to the interfoveolar ligament . (radiopaedia.org)
Anastomoses1
The artery ends at the level of the umbilicus where it anastomoses with the superior epigastric artery. (penelopethemovie.com)
Ductus deferens2
Artery to ductus deferens (branch of inferior epigastric a. (freezingblue.com)
Additionally, the testes receive blood from the cremasteric branch of the inferior epigastric artery and the artery to the ductus deferens. (medscape.com)
Iliac artery2
T he inferior epigastric artery is a branch of the external iliac artery. (penelopethemovie.com)
At the same time a section of external iliac artery, the inferior epigastric artery , by coming in front of the arcuate line moves in the sheath. (earthslab.com)
Superior3
It terminates at the level of the umbilicus by anastomosing with the superior epigastric artery. (penelopethemovie.com)
The superior epigastric artery emerges around the sixth or seventh costal cartilage and is a section of internal thoracic artery . (earthslab.com)
The internal mammary artery (A.k.a Internal thoracic artery ) generates the superior epigastric artery along with the musculophrenic artery by dividing below the costal cartilage of the sixth rib. (earthslab.com)
Vena1
The right artery passes behind the inferior vena cava (IVC) first, in contrast to the left, which passes almost directly to the kidney. (your-doctor.net)
Pedicle1
As the dissection proceeds laterally and the iliac crest is encountered, the muscles superficial to the pedicle are divided from the iliac crest insertion, exposing the iliacus muscle and iliac crest. (microsurgeon.org)
Point defects in the aponeurotic intersections of the linea alba may facilitate the development of epigastric hernias, which often simply contain preperitoneal fat but are often disproportionately painful for their size owing to their high tendency to strangulate. (gynecoloncol.com)
The superficial nature of these hernias makes them amenable to diagnosis by ultrasonography. (gynecoloncol.com)
Branches1
The dorsal venous arch lies in the subcutaneous tissue, between the skin and the dorsal digital branches of the superficial peronæal nerve, opposite the anterior parts of the bodies of the metatarsal bones. (co.ma)
Tissue1
Close cooperation with the oncologic surgeon can alleviate problems, since technically no breast tissue lies inferior to this plane. (medscape.com)
Medially it is attached to the pubic arch, and below the level of the femoral triangle it blends inseparably with the superficial fatty layer. (co.ma)
Arterial1
Any arterial puncture above the level of the lowest point of inferior epigastric artery is associated with a significant increase in the risk of retroperitoneal hemorrhage. (thoracickey.com)
Anatomical1
The aim of the current study was to provide clinicians, surgeons, and obstetricians with sufficient anatomical data on the inferior epigastric artery, such as its origin and branching pattern. (penelopethemovie.com)
Spermatic1
Superficial dissection of the testis and spermatic cord. (utoronto.ca)
Muscle1
Sympathetic nerves from the inferior hypogastric plexus cause peristaltic contractions in the thick smooth muscle wall and propel sperm during ejaculation. (mhmedical.com)
Thigh1
The Superficial Inferior Epigastric Artery Interpolated Flap for Closure of Large Anterolateral Thigh Flap Donor Site Defects. (bvsalud.org)