This complex reconstruction, known as a deep inferior epigastric
perforator flap (or DIEP flap..
The SCIA takes off from superficial femoral artery or from a common trunk with the superficial inferior epigastric
artery and runs superolateral toward the anterior superior iliac spine.
Transverse fascia was opened perpendicularly to the abdominal incision so as not to injure inferior epigastric
artery and vein, and preperitoneal space was entered.
Its branches are the deep circumflex femoral artery and the inferior epigastric
The VRAM flap, based on the left deep inferior epigastric
pedicle, was designed with a skin island of 11x10 cm and a muscular component of 16x9 cm (Figure 7).
Vascular injury--most commonly the inferior epigastric
artery, spermatic vessels.
Tearing can occur in these superior and inferior epigastric
vessels due to these severe dimensional changes (5).
Legend: EIA = External iliac artery; EIV = External iliac vein; ONVB = Obturator neurovascular bundle; SPR = Superior pubic ramus; IEV = Inferior epigastric
vein; IEA = Inferior epigastric
Methods: A fat flap based on the superficial inferior epigastric
vascular pedicle was excised from rats and placed into a perfusion bioreactor.
artery pseudoaneurysm: A complication of paracentesis.
One such complication is puncture of the inferior epigastric
artery which in the past has been reported to have led to catastrophic complications such as perforation, laceration, and dissection which lead to retroperitoneal hemorrhages .
Zhang, "Reconstruction of a palatomaxillary defect with vascularized iliac bone combined with a superficial inferior epigastric
artery flap and zygomatic implants as anchorage," International Journal of Oral and Maxillofacial Surgery, vol.