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The Arterial Vascularization of the Abdominal Wall with Special Regard to the Umbilicus

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Adult Umbilical Reconstruction

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Abstract

By understanding the blood supply, a surgeon can minimize the risk of postoperative necrosis, wound healing disorders, and conspicuous scars. The author discusses preoperative conditions, the deep epigastric arcade, the superficial inferior epigastric artery (SIEA), vascular territories and alterations due to periumbilical surgery, Huger zones, alterations due to dissection technique and the role of Scarpa’s fascia, massive weight loss patients and blood supply, and the influence of liposuction. In the native abdomen, the major blood supply arises from the DIEA. During circumferential umbilical incision, the blood supply from subdermal plexus is interrupted, leading to a sole nutrition by the perforators of the MB-DIEA. Liposuction in the middle triangle can compromise circulation and should solely be applied in the deep adipose layer.

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Author information

Authors and Affiliations

  1. Department for Plastic Surgery, Hand Surgery, Burn Center, University Hospital of the RWTH Aachen University, Pauwelsstr. 30, D-52074, Aachen, Germany

    Norbert Pallua M.D., Ph.D. & Dr. Verena-Constanze Buchinger-Kähler

Authors
  1. Norbert Pallua M.D., Ph.D.
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  2. Dr. Verena-Constanze Buchinger-Kähler
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Correspondence to Norbert Pallua M.D., Ph.D. .

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Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

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Pallua, N., Buchinger-Kähler, VC. (2017). The Arterial Vascularization of the Abdominal Wall with Special Regard to the Umbilicus. In: Shiffman, M. (eds) Adult Umbilical Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-43887-0_2

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  • DOI: https://doi.org/10.1007/978-3-319-43887-0_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43885-6

  • Online ISBN: 978-3-319-43887-0

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