The Value of the Topography of the Inferior Epigastric Artery in Women in Breast Reconstructive Plastic Surgery

Abstract

Currently, the most optimal option for breast reconstruction after mastectomy is the use of a pedicle DIEP flap from the inferior epigastric artery.The aim of the study was to study the features of the typical and variant anatomy of the inferior epigastric artery in women in the applied aspect.Material and methods. The study was carried out on 20 unfixed female bodies who died at the age of 54.6±4.7 years. We studied the level of intersection of the main trunk of the inferior epigastric artery with the lateral edge of the rectus abdominis muscle, the distance from this artery to the midline at different measurement levels, as well as the outer diameter of the studied vessel.Results. On the right, at different measurement levels, the distance from the main trunk of the inferior epigastric artery to the midline, the diameter of the artery, as well as the level of its intersection with the lateral edge of the rectus abdominis muscle in relation to the upper edge of the pubic bone, significantly exceed those on the left.Conclusion. It is necessary to take into account the peculiarities of the topographic anatomy of the inferior epigastric artery, planning and carrying out breast reconstruction with a DIEP flap, in order to prevent the development of necrosis in the postoperative period. For better reperfusion of the reconstruction area in the postoperative period, it is preferable to cut out the flap with the isolation of the right inferior epigastric artery (due to its larger diameter).