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배곧은근의 혈관 주행에 관한 시신해부 및 컴퓨터단층촬영

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Author(s)
손대구박병주김진한최태현김준형한기환Daegu SonByungju ParkJinhan KimTaehyun ChoiJunhyung KimKihwan Han
Keimyung Author(s)
Son, Dae GuChoi, Tae HyunKim, Jun HyungHan, Ki Hwan
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
2008
Volume
35
Issue
6
Abstract
PURPOSE: Pedicled transverse rectus abdominis myocutaneous(TRAM) flap has been a gold standard for breast reconstruction and one of surgical techniques preferred by many surgeons. The authors examined the course of deep epigastric artery focusing on distance from margins of rectus abdominis to pedicle and location of choke vessels to get minimal muscles during pedicled TRAM flap operation.
METHODS: Eleven rectus abdominis muscle from nine cadavers were used in this study. Rectus abdominis was separated from the cadavers, deep inferior and superior epigastric artery were isolated and then 8 anatomical landmarks in medial and lateral margins of rectus abdominis were designated. Distance to a pedicle meeting first horizontally was measured and vertical location from umbilicus to choke vessel was determined. In addition, 32 rectus abdominis images of 16 women(average age: 37.2 years old) from 64 channel abdomen dynamic computerized tomography were also examined with the same anatomical landmarks with those of cadavers.
RESULTS: Average distance from four landmarks on lateral margin of rectus abdominis to pedicle was 1.9-3.4cm and 1.8-3.8 cm on medial margin. Choke vessel was located between middle and inferior tendinous intersection in all cases and average distance between two tendinous intersection was 6.7-7.0 cm on medial margin and 6.2 cm on lateral margin. Location of inferior tendinous intersection was on umbilicus or superior of it in all cases and its average distance from umbilicus was 1.8-5.6 cm on medial margin and 2.7-6.2 cm on lateral margin.
CONCLUSION: Distance from medial and lateral margins of rectus abdominis muscle to pedicle was the shortest in inferior tendinous intersection and that was averagely 1.8 cm on medial margin and 1.9 cm in average on lateral margin. All choke vessels were located between middle and inferior tendinous intersection.
Alternative Title
Cadever dissection and Dynamic CT for Vascular Anatomy of Rectus Abdominis Muscle
Keimyung Author(s)(Kor)
손대구
최태현
김준형
한기환
Publisher
School of Medicine
Citation
손대구 et al. (2008). 배곧은근의 혈관 주행에 관한 시신해부 및 컴퓨터단층촬영. 대한성형외과학회지, 35(6), 663–668.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39310
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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