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Microsurgery Techniques in Andrology *
Published in Waldemar L. Olszewski, CRC Handbook of Microsurgery, 2019
In the surgical procedure the use of the midline intraperitoneal incision is justified as the intraabdominal testis is an intraperitoneal structure. The first stage is to prepare the inferior epigastric vessels in the inguinal area by a standard inguinal incision. Care must be taken not to accidentally incise the superficial inferior epigastric vein (as is usually done in routine orchidopexy or hernia repair). In order to reduce ischemia time the internal spermatic vessels should not be clamped or divided until the inferior epigastric vessels in the inguinal area have been prepared.
The Autologous Vein Grafts in Reconstructive Microsurgery for Lymph Stasis
Published in Waldemar L. Olszewski, Lymph Stasis: Pathophysiology, Diagnosis and Treatment, 2019
In order to evaluate the efficiency of lymphatic drainage in pathological conditions, in 1981 to 1982 we performed a second series of experimental studies on five male rabbits in which we had produced the experimental lymphedema of one posterior paw with use of Danese’s technique developed in 1968 to 1969. After 2 weeks from the appearance of lymphedema, we performed the reconstructive microsurgical operation. For this purpose we used autologous vein grafts of the superficial inferior epigastric vein, about 6 cm long and 0.8 mm wide (see Figure 6).
The Kidney (KI)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Superior superficial epigastric vein: The superficial epigastric veins provide collateral circulation routes for abdominopelvic venous blood. These valveless veins offer an additional route for venous blood to return to the heart in cases of inferior vena caval obstruction or ligation. Usually, the superficial inferior epigastric vein is a tributary of the great saphenous vein while the superior epigastric vein carries deoxygenated blood and drains into the internal thoracic vein. The superior and inferior superficial epigastric vessels anastomose at the level of the umbilicus.
The influence of venous system patterns on DIEP flap viability for breast reconstruction
Published in Journal of Plastic Surgery and Hand Surgery, 2021
Yoshihiro Sowa, Takuya Kodama, Kei Fujikawa, Daiki Morita, Toshiaki Numajiri, Koichi Sakaguchi
Dominant venous drainage to the lower abdominal panniculus may be provided through the superficial inferior epigastric vein (SIEV) rather than the deep inferior epigastric vein (DIEV). However, after flap elevation, the condition of the flap changes as the whole venous outflow is directed through the venae comitantes of the used perforators into the DIEV [8,9]. The relationships of connections between the superficial and deep inferior epigastric vein systems (superficial-to-deep connection: SDC) and those of the superficial inferior epigastric vein across the midline of the flap (midline-crossing linking vessels: MCLV) with venous congestion has been examined in several recent studies, and the effects of vascular anatomy patterns, including the size, direction and bifurcation points of the most dominant perforator vein in the flap, on the incidence of fat necrosis and stiffness in individual regions of the flap are also of interest [1–4,7,10]. Some studies have suggested that the direction and bifurcation points of the most dominant perforator vessel influence blood circulation in the flap [11,12].
Use of a biopsy punch for end-to-side anastomosis in free-tissue transfer
Published in Journal of Plastic Surgery and Hand Surgery, 2020
Jae-Ho Chung, Sung-Min Sohn, Hi-Jin You, Eul-Sik Yoon, Byung-Il Lee, Seung-Ha Park, Deok-Woo Kim
In reconstructive surgery for soft tissue defects, common free-flap options include radial forearm (RFFF), anterolateral thigh (ALT) and free transverse rectus abdominis musculocutaneous (TRAM) flaps. According to an anatomic study of the vascular pedicle in these flaps, the mean inner diameter of the radial artery and the venae comitantes 1 cm distal to the origins of the radial and ulnar arteries were 2.3 ± 0.5 mm and 1.6 ± 0.5 mm, respectively [17]. The mean external diameter of the descending branch in the mid-thigh and where it joined to the lateral circumflex femoral artery were 1.75 mm and 3 mm [18], respectively, and the average diameter of the deep inferior epigastric vein was 3.2 mm at its origin [19]. Consistent with these data, we usually make an appropriately sized hole using 2 to 3 mm biopsy punch.
Deep inferior epigastric artery perforator flap harvest after full abdominoplasty
Published in Acta Chirurgica Belgica, 2019
Assaf A. Zeltzer, Randy A. De Baerdemaeker, Benoit Hendrickx, Katrin Seidenstücker, Carola Brussaard, Moustapha Hamdi
On the left side a superficial inferior epigastric vein (SIEv) could be dissected distally through the abdominoplasty scar. The SIEv was indeed unexpectedly present after the previous abdominoplasty as a permeable vein through the abdominoplasty scar, probably due to repermeation (Figures 4 and 5).