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Classification of the terminal arterial vascularization of the appendix with a view to its use in reconstructive microsurgery

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Abstract

Aim

The aim of this study was to examine the arterial vascularization of the appendix, in order to propose a classification of the different vascular types of the appendix for the realization of free transfer in reconstructive microsurgery.

Materials and methods

We achieved the removal as a monobloc of the cecum, of a part of the ileum, and the upper colon, then conducted the intra-arterial injection of a mixture composed of minium, and went on to the dissection of 25 specimens of appendix from West Africa. We analyzed the appendicular territory vascularized by the different discovered arteries.

Results

The average length of the appendix was 10.5 cm, ranging from 6.5 to 13.5 cm. The vascularization of the appendix was guaranteed by three arteries: the main appendicular artery, the ceco-appendicular artery and by one or several appendicular accessory arteries. We found five types of vascularization of the appendix according to the number and type of artery needed to guarantee the vascularization of the whole of the appendix including its base.

Conclusion

It is evident from this study that a detailed analysis of the vascularization of the appendix is necessary before its removal for a reconstructive microsurgery, because in three cases out of four, the transplant must include at least two vessels in order to guarantee the whole of its vascularization.

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Authors and Affiliations

  1. Laboratoire d’Anatomie, Université Abidjan Cocody, UFR des sciences médicales, 01 BP V 166, Abidjan 01, Côte d’Ivoire

    Djibril Ouattara, Yvan Zunon Kipré, Esperance Broalet, Fréjuis Gotta Séri, Hervé Yangni Angaté, Gabriel Gnanazan Bi N’Guessan & Salami Kassanyou

  2. Centre hospitalier et universitaire de treichville, Service d’anatomie chirurgicale et d’urologie du Professeur Gnanazan Bi N’guessan Gabriel, Abidjan, Côte d’Ivoire

    Djibril Ouattara, Fréjuis Gotta Séri & Gabriel Gnanazan Bi N’Guessan

Authors
  1. Djibril Ouattara
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  2. Yvan Zunon Kipré
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  3. Esperance Broalet
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  4. Fréjuis Gotta Séri
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  5. Hervé Yangni Angaté
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  6. Gabriel Gnanazan Bi N’Guessan
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  7. Salami Kassanyou
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Correspondence to Djibril Ouattara.

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Ouattara, D., Kipré, Y.Z., Broalet, E. et al. Classification of the terminal arterial vascularization of the appendix with a view to its use in reconstructive microsurgery. Surg Radiol Anat 29, 635–641 (2007). https://doi.org/10.1007/s00276-007-0265-6

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  • DOI: https://doi.org/10.1007/s00276-007-0265-6

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