Perforator Mapping of the Superficial and Deep Inferior Epigastric Artery in the Abdominal Region of the Vietnamese

Tran Dang Khoa; Nguyen Duy Bac; Cao Ngoc Bich; Hoang Long Vo; Nguyen Vu Thai Lien; Thien Chu Dinh

doi:10.3889/oamjms.2019.362

Authors

Tran Dang Khoa Pham Ngoc Thach University of Medicine (PNTU), Ho Chi Minh City, Vietnam
Nguyen Duy Bac Vietnam Military Medical University (VMMU), Hanoi, Vietnam
Cao Ngoc Bich Thanh Van Cosmetic Surgery Hospital, Ho Chi Minh City, Vietnam
Hoang Long Vo Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
Nguyen Vu Thai Lien School of Odonto Stomatology, Hanoi Medical University, Hanoi, Vietnam
Thien Chu Dinh Institute for Research and Development, Duy Tan University, 03 Quang Trung, Danang, Vietnam

DOI:

https://doi.org/10.3889/oamjms.2019.362

Keywords:

Deep inferior epigastric artery, Superficial epigastric artery, Fourth space, Eight regions

Abstract

BACKGROUND: Previous studies worldwide have investigated the anatomy of the perforators of the deep inferior epigastric arteries to figure out the navigation patterns of the perforators on the abdominal wall. This has been inconsistent amongst the researchers about how to select the perforator to increase the blood supply area for the flap.

AIM: To explore the blood supply area of the perforators of the superficial and deep inferior epigastric artery in the abdominal region of the Vietnamese by dissection and 64-slice multislice computed tomography (64-slice MSCT).

METHODS: A descriptive cross-sectional study Center from September 2014 to September 2016 on two groups including 30 cadavers fixed by formalin 10% in Anatomy Department of UPNT, and 37 patients getting the 64-slice MSCT abdominal arteries angiogram.

RESULTS: The superficial epigastric arteries at the level of the inguinal ligament were located in the middle region, with 96% (right) and 88.5% (left). The anterior superior iliac spine level was in the middle, and lateral regions of 68% and 32% respectively. The level of the umbilical cord was in the lateral region with 66.7% and 85.7%, respectively. There were about 6 perforators of the deep inferior epigastric arteries located in the navel area. These perforators were 70% in the medial region and 30% in the middle region.

CONCLUSION: Mapping the blood supply based on the fourth space in the abdominal region in which the superfical inferior epigastric arteries supplied the lateral area. The middle and the internal ones were the perforators of the deep inferior epigastric arteries.