Atıf İçin Kopyala
Edizer M., Magden A. O., Tayfur V., Yonguc G. N., Gocmen-Mas N. N.
FOLIA MORPHOLOGICA, cilt.75, sa.1, ss.27-32, 2016 (SCI-Expanded)
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Yayın Türü:
Makale / Tam Makale
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Cilt numarası:
75
Sayı:
1
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Basım Tarihi:
2016
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Doi Numarası:
10.5603/fm.a2015.0063
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Dergi Adı:
FOLIA MORPHOLOGICA
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Derginin Tarandığı İndeksler:
Science Citation Index Expanded (SCI-EXPANDED), Scopus
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Sayfa Sayıları:
ss.27-32
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Anahtar Kelimeler:
medial thigh flap, vascular pedicle, femoral artery, reconstruction, FEMORAL-ARTERY TERMINOLOGY, PERFORATOR FLAP, FASCIOCUTANEOUS FLAP, MUSCLE FLAP, RECONSTRUCTION, COMPLEX
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Dokuz Eylül Üniversitesi Adresli:
Evet
Özet
Medial fasciocutaneous flap which 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 are important for the surgeons. In the present study, vascular pedicle of the medial thigh perforator flap based on the femoral artery were investigated according to anatomical and surgical landmarks. Here, a study group consisted of human caucasian preserved cadavers consisted of 15 adults (13 males, 2 females; age range 55 to 82 years: 30 sides, bilaterally) that were previously formalin fixed were
subjected to our analytical examinations. Micro dissections were performed under 4X loop magnification while representing the perforating branches of the femoral artery after filling by colored latex injection via the external iliac artery. 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 cutaneus branch was 3.30cm, 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. In conclusion we can say that 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.