The lymphatic system of the deep inferior epigastric artery perforator flap: an anatomical study
The anatomical basis of the lymphatic system of the deep inferior epigastric perforator (DIEP) flap wasstudied in 24 abdominoplasty specimens and in three fresh cadavers. Methylene ( n=4), patent ( n=4) and Turnbull's ( n=8) blue were compared by injecting the dye intradermally. To facilitate s...
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| Veröffentlicht in: | British journal of plastic surgery 2002-06, Vol.55 (4), p.335-339 |
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| container_title | British journal of plastic surgery |
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| creator | Felmerer, Gunther Muehlberger, Thomas Vogt, Peter M. von Rautenfeld, Dirk Berens |
| description | The anatomical basis of the lymphatic system of the deep inferior epigastric perforator (DIEP) flap wasstudied in 24 abdominoplasty specimens and in three fresh cadavers. Methylene (
n=4), patent (
n=4) and Turnbull's (
n=8) blue were compared by injecting the dye intradermally. To facilitate staining, two different types of vacuum technique were used: a vacuum chamber (
n=4) and the vacuum-assisted method (
n=4). The lymphatic collectors were dissected, and embedded in paraffin for histological investigation. The most useful dye was Turnbull's blue. The vacuum had no effect on the distribution of the dye. Manual injection showed three parallel superficial collectors situated directly under the skin. Turnbull's blue was also injected into the rectus fascia to demonstrate the collectors of the deep abdominal structures. They run horizontally, and perforate the fascia to run with the inferior epigastric artery. Care should be taken when dissecting the pedicle, or removing the epithelium, to avoid destroying the lymphatic system of the flap. |
| doi_str_mv | 10.1054/bjps.2002.3830 |
| format | Article |
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n=4), patent (
n=4) and Turnbull's (
n=8) blue were compared by injecting the dye intradermally. To facilitate staining, two different types of vacuum technique were used: a vacuum chamber (
n=4) and the vacuum-assisted method (
n=4). The lymphatic collectors were dissected, and embedded in paraffin for histological investigation. The most useful dye was Turnbull's blue. The vacuum had no effect on the distribution of the dye. Manual injection showed three parallel superficial collectors situated directly under the skin. Turnbull's blue was also injected into the rectus fascia to demonstrate the collectors of the deep abdominal structures. They run horizontally, and perforate the fascia to run with the inferior epigastric artery. Care should be taken when dissecting the pedicle, or removing the epithelium, to avoid destroying the lymphatic system of the flap.</description><identifier>ISSN: 0007-1226</identifier><identifier>EISSN: 1465-3087</identifier><identifier>DOI: 10.1054/bjps.2002.3830</identifier><identifier>PMID: 12160541</identifier><identifier>CODEN: BJPSAZ</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Abdomen - surgery ; Biological and medical sciences ; Cadaver ; deep inferior epigastric perforator flap, anatomy, lymphatic collectors, flap oedema ; Edema - pathology ; Epigastric Arteries ; Female ; Ferrocyanides ; Humans ; Injections, Intradermal ; Lymphatic System - anatomy & histology ; Male ; Medical sciences ; Methylene Blue ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps - blood supply</subject><ispartof>British journal of plastic surgery, 2002-06, Vol.55 (4), p.335-339</ispartof><rights>2002 The British Association of Plastic Surgeons</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-1ae609780d2c95f4f1ec49aa2d21521a4faa28e067f75ae836e5d4b12c594a933</citedby><cites>FETCH-LOGICAL-c410t-1ae609780d2c95f4f1ec49aa2d21521a4faa28e067f75ae836e5d4b12c594a933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13775075$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12160541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Felmerer, Gunther</creatorcontrib><creatorcontrib>Muehlberger, Thomas</creatorcontrib><creatorcontrib>Vogt, Peter M.</creatorcontrib><creatorcontrib>von Rautenfeld, Dirk Berens</creatorcontrib><title>The lymphatic system of the deep inferior epigastric artery perforator flap: an anatomical study</title><title>British journal of plastic surgery</title><addtitle>Br J Plast Surg</addtitle><description>The anatomical basis of the lymphatic system of the deep inferior epigastric perforator (DIEP) flap wasstudied in 24 abdominoplasty specimens and in three fresh cadavers. Methylene (
n=4), patent (
n=4) and Turnbull's (
n=8) blue were compared by injecting the dye intradermally. To facilitate staining, two different types of vacuum technique were used: a vacuum chamber (
n=4) and the vacuum-assisted method (
n=4). The lymphatic collectors were dissected, and embedded in paraffin for histological investigation. The most useful dye was Turnbull's blue. The vacuum had no effect on the distribution of the dye. Manual injection showed three parallel superficial collectors situated directly under the skin. Turnbull's blue was also injected into the rectus fascia to demonstrate the collectors of the deep abdominal structures. They run horizontally, and perforate the fascia to run with the inferior epigastric artery. Care should be taken when dissecting the pedicle, or removing the epithelium, to avoid destroying the lymphatic system of the flap.</description><subject>Abdomen - surgery</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>deep inferior epigastric perforator flap, anatomy, lymphatic collectors, flap oedema</subject><subject>Edema - pathology</subject><subject>Epigastric Arteries</subject><subject>Female</subject><subject>Ferrocyanides</subject><subject>Humans</subject><subject>Injections, Intradermal</subject><subject>Lymphatic System - anatomy & histology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methylene Blue</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps - blood supply</subject><issn>0007-1226</issn><issn>1465-3087</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1rGzEQQEVoSNwk1x6LLs1tHUkrrXZzKyZJC4ZekrMy1o5imf2KJAf230fGhpwKgtGM3gyjR8gPzpacKXm32U1xKRgTy7Iu2RlZcFmpomS1_kYWjDFdcCGqS_I9xl1OGynKC3LJBa9yN1-Q1-ct0m7upy0kb2mcY8Kejo6mXG8RJ-oHh8GPgeLk3yCmkDEICcNMJwxuDJDyo-tguqcw5JPz3lvoaEz7dr4m5w66iDeneEVeHh-eV3-K9b-nv6vf68JKzlLBASvW6Jq1wjbKScfRygZAtIIrwUG6fK-RVdppBViXFapWbriwqpHQlOUVuT3OncL4vseYTO-jxa6DAcd9NJo3taw1z-DyCNowxhjQmSn4HsJsODMHp-bg1BycmoPT3PDzNHm_6bH9wk8SM_DrBEDM_3YBBuvjF1dqrZhWmauPHGYPHx6DidbjYLH1AW0y7ej_t8MnwB-Tjw</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>Felmerer, Gunther</creator><creator>Muehlberger, Thomas</creator><creator>Vogt, Peter M.</creator><creator>von Rautenfeld, Dirk Berens</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020601</creationdate><title>The lymphatic system of the deep inferior epigastric artery perforator flap: an anatomical study</title><author>Felmerer, Gunther ; Muehlberger, Thomas ; Vogt, Peter M. ; von Rautenfeld, Dirk Berens</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-1ae609780d2c95f4f1ec49aa2d21521a4faa28e067f75ae836e5d4b12c594a933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Abdomen - surgery</topic><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>deep inferior epigastric perforator flap, anatomy, lymphatic collectors, flap oedema</topic><topic>Edema - pathology</topic><topic>Epigastric Arteries</topic><topic>Female</topic><topic>Ferrocyanides</topic><topic>Humans</topic><topic>Injections, Intradermal</topic><topic>Lymphatic System - anatomy & histology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methylene Blue</topic><topic>Skin plastic surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Felmerer, Gunther</creatorcontrib><creatorcontrib>Muehlberger, Thomas</creatorcontrib><creatorcontrib>Vogt, Peter M.</creatorcontrib><creatorcontrib>von Rautenfeld, Dirk Berens</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Felmerer, Gunther</au><au>Muehlberger, Thomas</au><au>Vogt, Peter M.</au><au>von Rautenfeld, Dirk Berens</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The lymphatic system of the deep inferior epigastric artery perforator flap: an anatomical study</atitle><jtitle>British journal of plastic surgery</jtitle><addtitle>Br J Plast Surg</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>55</volume><issue>4</issue><spage>335</spage><epage>339</epage><pages>335-339</pages><issn>0007-1226</issn><eissn>1465-3087</eissn><coden>BJPSAZ</coden><abstract>The anatomical basis of the lymphatic system of the deep inferior epigastric perforator (DIEP) flap wasstudied in 24 abdominoplasty specimens and in three fresh cadavers. Methylene (
n=4), patent (
n=4) and Turnbull's (
n=8) blue were compared by injecting the dye intradermally. To facilitate staining, two different types of vacuum technique were used: a vacuum chamber (
n=4) and the vacuum-assisted method (
n=4). The lymphatic collectors were dissected, and embedded in paraffin for histological investigation. The most useful dye was Turnbull's blue. The vacuum had no effect on the distribution of the dye. Manual injection showed three parallel superficial collectors situated directly under the skin. Turnbull's blue was also injected into the rectus fascia to demonstrate the collectors of the deep abdominal structures. They run horizontally, and perforate the fascia to run with the inferior epigastric artery. Care should be taken when dissecting the pedicle, or removing the epithelium, to avoid destroying the lymphatic system of the flap.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>12160541</pmid><doi>10.1054/bjps.2002.3830</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of plastic surgery, 2002-06, Vol.55 (4), p.335-339 |
| issn | 0007-1226 1465-3087 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Abdomen - surgery Biological and medical sciences Cadaver deep inferior epigastric perforator flap, anatomy, lymphatic collectors, flap oedema Edema - pathology Epigastric Arteries Female Ferrocyanides Humans Injections, Intradermal Lymphatic System - anatomy & histology Male Medical sciences Methylene Blue Skin plastic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - blood supply |
| title | The lymphatic system of the deep inferior epigastric artery perforator flap: an anatomical study |
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