- Discussion:
- inferior epigastric pedicle is long (8 to 10 cm) and reliable;
- muscle width of 8 to 10 cm is limited, and the skin paddle is long &
bulky when compared to the
Latissimus Dorsi;
- rectus abdominis muscle can be harvested thru either a transverse or
paramedian approach;
- muscle is divided superiorly and reflected inferiorly along plane of
posterior rectus fascia;
- peritoneal perforator in the periumbilical region should be identified
and ligated before division;
- major pedicle is found by reflecting the anterior rectus fascia laterally, & by
reflecting anterior rectus fascia laterally, & by skeletonizingg the vessels in
caudal fashion to external iliac artery and veins;
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The extended deep inferior epigastric pedicle flap for lower extremity
reconstruction.
The deep inferior epigastric artery free skin flap: anatomic study and
clinical application.
The rectus abdominis free flap for lower extremity reconstruction.
The Segmental Rectus Abdominis Free Flap for Ankle and Foot Reconstruction.
