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The Spleen(SP)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Thoracoepigastric vein: This vein arises from the region of the superficial epigastric vein and drains into the axillary vein or lateral thoracic vein. Provides a subcutaneous collateral pathway for the superficial circumflex iliac veins and the superficial epigastric veins to return abdominopelvic venous blood to the heart, as they anastomose with the lateral thoracic vein, a tributary of the axillary vein. Because these veins are valveless, blood can flow back into the axillary vein and bypass the inferior vena cava. The communication pathway between the lower veins and the lateral thoracic vein constitutes the thoracoepigastric vein.
The effect of chemical hemodynamic regulation on the survival of arterialized venous flaps
Published in Journal of Plastic Surgery and Hand Surgery, 2019
Bin Zhao, Keshav Poonit, Xijie Zhou, Chenglun Yao, Chao Sun, Hede Yan
The animal model was modified based on our previous studies [6,21]. Briefly, a 10 × 8 cm (width × length) skin flap was made proportionally along the mid-line of the abdomen. The flap was cut to include the epidermis, dermis, subcutaneous tissue, and the panniculus carnosus. Using microscopic techniques, one side of femoral artery was freed and ligated reversely to anastomose with the proximal end of the thoracoepigastric vein using 11–0 sutures, leaving only the distal thoracoepigastric vein of this side intact to provide venous outflow whereas all other arteries and veins connected to the flap were ligated. The flap was then sutured back in place using 4 – 0 silk.
Role of Intraoperative Nerve Monitoring in Postoperative Muscle and Nerve Function of Patients Undergoing Modified Radical Mastectomy
Published in Journal of Investigative Surgery, 2021
Serhat Tokgöz, Ebru Karaca Umay, Kerim Bora Yilmaz, Muzaffer Akkoca, Melih Akinci, Cem Azili, Mehmet Saydam, Yasin Ucar, Şener Balas
The TDN innervates the latissimus dorsi muscle. It is mainly located posterior to the lateral thoracic (thoracoepigastric) vein. It then progresses over the subscapular muscles with the subscapular veins inferolaterally, entering through the medial portion of the latissimus dorsi muscle. Most branches of the axillary vein, including the thoracoepigastric vein, enter the muscle along the same plane. The thoracodorsal neurovascular bundle enters with an angle of approximately 45 degrees. The thoracodorsal neurovascular bundle can be defined by simple retraction of the axillary content after the ligation of all anteriorly positioned lateral branches.