Taylor G I, Corlett R J, Boyd J B
Br J Plast Surg. 1984 Jul;37(3):330-50. doi: 10.1016/0007-1226(84)90076-6.
The deep inferior epigastric vascular system nourishes a vast area of the anterior abdominal wall and offers a versatile variety of tissue combinations to the reconstructive surgeon for local or free flap transfer. Its supply to and beyond the rectus abdominis muscle provides the basis for flap design. Eighteen cases are presented to illustrate various muscle, myocutaneous and myosubcutaneous flaps that have been used to date to repair defects in the extremities and in the head and neck. The ease of dissection, coupled with the large calibre and length of the vascular stem, are key factors which combine to offer a speedy and a reliable technique. The donor site scar has been improved by the use of a suprapubic transverse incision to dissect the pedicle and this exposure provides access to the iliac crest for bone grafts where indicated. Time will evaluate this technique and further designs and modifications will undoubtedly be forthcoming. Meanwhile the initial results have been most promising.
腹壁下深血管系统滋养着大面积的前腹壁，并为重建外科医生提供了多种组织组合，用于局部或游离皮瓣转移。它对腹直肌及其以外区域的供血为皮瓣设计提供了基础。本文介绍了18例病例，以说明迄今为止用于修复四肢、头部和颈部缺损的各种肌肉瓣、肌皮瓣和肌皮下瓣。解剖操作简便，加上血管蒂口径大、长度长，这些关键因素共同构成了一种快速可靠的技术。通过耻骨上横向切口解剖蒂部，改善了供区瘢痕，这种暴露还能在必要时进入髂嵴获取骨移植材料。时间将对这项技术进行评估，无疑还会有进一步的设计和改进。与此同时，初步结果非常令人鼓舞。
