9 research outputs found
Vascular anatomical features of the medial thigh flap in human cadavers of Caucasian origin
Background: Medial fasciocutaneous flaps, which are based on the femoral artery
from the thigh region, are used for wide inguinal, scrotal, vaginal, perineal,
leg, head and neck defect reconstructions in injured human patients. Within this
regard, anatomical knowledge about perforating and cutaneous branches of the
femoral artery is important for the surgeons.
Materials and methods: In the present study, vascular pedicles of the medial
thigh perforator flap based on the femoral artery were investigated according
to anatomical and surgical landmarks. Human Caucasian preserved cadavers of
15 adults (13 males, 2 females; age range 55–82 years: 30 sides, bilaterally) that
were previously formalin fixed were subjected to our analytical examinations. Micro
dissections were performed under 4× loop magnification while representing the
perforating branches of the femoral artery after filling by coloured latex injection
via the external iliac artery.
Results: The size and length parameters of these branches which appeared
around the apex of the femoral triangle were evaluated. The mean size of the
perforating branch at the point of origin was 0.14 cm and the mean size of the
cutaneous branch at the point of origin was 0.09 cm, the mean length of the
pedicle was 4.74 cm and the mean length of the cutaneous branch was 3.30 cm,
respectively. Location of the perforating and the cutaneous branches were also
determined according to the surgical landmarks such as the anterior superior iliac
spine, inguinal ligament, pubic tubercle and interepicondylar line.
Conclusions: The pedicle of the medial flap should locate up to 25 cm from the
anterior superior iliac spine so as to preserve the vascular structures. Exact location
of this artery helps the surgeons to perform anastomosis in an easier and safer
manner during surgical operations
Vascular anatomical features of the medial thigh flap in human cadavers of Caucasian origin
Background: Medial fasciocutaneous flaps, which are based on the femoral artery
from the thigh region, are used for wide inguinal, scrotal, vaginal, perineal,
leg, head and neck defect reconstructions in injured human patients. Within this
regard, anatomical knowledge about perforating and cutaneous branches of the
femoral artery is important for the surgeons.
Materials and methods: In the present study, vascular pedicles of the medial
thigh perforator flap based on the femoral artery were investigated according
to anatomical and surgical landmarks. Human Caucasian preserved cadavers of
15 adults (13 males, 2 females; age range 55–82 years: 30 sides, bilaterally) that
were previously formalin fixed were subjected to our analytical examinations. Micro
dissections were performed under 4× loop magnification while representing the
perforating branches of the femoral artery after filling by coloured latex injection
via the external iliac artery.
Results: The size and length parameters of these branches which appeared
around the apex of the femoral triangle were evaluated. The mean size of the
perforating branch at the point of origin was 0.14 cm and the mean size of the
cutaneous branch at the point of origin was 0.09 cm, the mean length of the
pedicle was 4.74 cm and the mean length of the cutaneous branch was 3.30 cm,
respectively. Location of the perforating and the cutaneous branches were also
determined according to the surgical landmarks such as the anterior superior iliac
spine, inguinal ligament, pubic tubercle and interepicondylar line.
Conclusions: The pedicle of the medial flap should locate up to 25 cm from the
anterior superior iliac spine so as to preserve the vascular structures. Exact location
of this artery helps the surgeons to perform anastomosis in an easier and safer
manner during surgical operations