Konerding M A, Gaumann A, Shumsky A, Schlenger K, Hockel M
Institute of Anatomy, Macroscopic Department, Johannes Gutenberg-University Mainz, Germany.
Plast Reconstr Surg. 1997 Mar;99(3):705-10; discussion 711-2. doi: 10.1097/00006534-199703000-00016.
This study was designed to clarify the vascularization of the inner anterior abdominal wall with respect to the novel transversus and rectus abdominis musculoperitoneal (TRAMP) flap, which was introduced recently for vaginal reconstruction. A series of human cadavers was injected with a lead oxide-gelatine mixture by means of the deep inferior epigastric artery and subsequently dissected and examined by radiography. In all cases we found that the blood supply of the entire rectus abdominis muscle from the symphysis to the costal arch and that of the medial 10 to 15 cm of the transversus abdominis muscle, as well as the underlying peritoneum, was provided by several branches of the deep inferior epigastric artery. "Choke" arteries to the superior epigastric artery and also to the intercostal arteries (X, XI, and XII) have been shown to be common features. From the anatomic point of view, these observations offer the possibility of mobilizing large parts of the transversus abdominis muscle together with the rectus abdominis muscle for reconstructive surgery.
本研究旨在阐明腹前壁内侧相对于新型腹横肌和腹直肌肌腹膜瓣（TRAMP瓣）的血管分布情况，该瓣最近被引入用于阴道重建。通过腹壁下深动脉向一系列人体尸体注射氧化铅 - 明胶混合物，随后进行解剖并通过放射照相术检查。在所有病例中，我们发现从耻骨联合到肋弓的整个腹直肌以及腹横肌内侧10至15厘米及其下方的腹膜的血液供应由腹壁下深动脉的几个分支提供。已证明存在向上腹壁动脉以及肋间动脉（第X、XI和XII肋间动脉）的“阻断”动脉，这是常见特征。从解剖学角度来看，这些观察结果为在重建手术中一起动员大部分腹横肌和腹直肌提供了可能性。
