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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449708/
The rectus abdominis muscle is a robust and versatile muscle, which is used in a variety of different configurations for microsurgical reconstruction. For chest wall defects, it is typically used as a pedicled flap based on the superior epigastric artery (SEA), commonly with a vertical skin paddle (VRAM flap).Author: NM Pantelides, SS Young, S Iyer
https://www.microsurgeon.org/rectus
The paired rectus muscles provide abdominal flexion and support for the intra-abdominal contents. The origin of the muscles is the pubic symphysis and pubic crest, while the insertion is the fifth to seventh costal cartilages. The muscle is enclosed by the rectus sheath, but below the arcuate line, this sheath disappears posterior to the muscle.
https://medicine.uiowa.edu/iowaprotocols/rectus-abdominis-free-flap
Rectus Abdominis Free Flap. return to:Microvascular Surgery Protocols GENERAL CONSIDERATIONS. Indications With the increased use of the forearm flap for intraoral and pharyngeal reconstruction, the rectus has been relegated to a second-line choice for reconstruction of these areas.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2884777/
Using this information, Koshima and Soeda reported the first clinical use of the lower abdominal skin and fatty tissue for breast reconstruction without sacrificing rectus muscle. 4 The use of the deep inferior epigastric artery perforator flap (DIEAP) for breast reconstruction was then popularized by Allen and Treece. 5 Since that time, the ...Cited by: 14
https://www.mdanderson.org/treatment-options/breast-reconstruction/reconstruction-using-abdominal-tissue.html
Two blood vessels supply this muscle: the deep superior epigastric artery and vein, and the deep inferior epigastric artery and vein. The deep inferior epigastric artery and vein has smaller blood vessels that come off and travel back through the rectus abdominis …
https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Rectus%20abdominis%20flap%20technique%20for%20head%20neck%20reconstruction.pdf
OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY RECTUS ABDOMINIS FLAP FOR HEAD & NECK RECONSTRUCTION Patrik Pipkorn, Brian Nussenbaum The rectus abdominis flap is based on the deep inferior epigastric artery. It is a com-posite flap and comprises muscle, over-lying fascia and skin. It is versatile and
https://www.breastcancer.org/treatment/surgery/reconstruction/types/autologous/tram
Mar 07, 2019 · (The artery and the vein are the "pedicle.") Pedicled TRAM flaps almost always use a large portion of the rectus abdominis muscle and are known as "muscle-transfer" flaps. Recovering from a pedicled TRAM flap can take longer than recovering from a muscle-sparing free TRAM flap because more muscle is used.
https://emedicine.medscape.com/article/880615-overview
Mar 03, 2016 · The rectus abdominis flap is favored for this application because of its ease of harvest and reliability. It has been used extensively as both a pedicled and free flap for breast reconstruction.It can be harvested as a muscle-only flap or as a myocutaneous flap.
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