Abstract
Intra-abdominal blood vessels can be used as recipient for microsurgical reconstruction of full-thickness chest or abdominal wall defects as well as reconstruction of thoracolumbar, pelvic, and perineal defects. In particular, intra-abdominal vessels are very helpful when extra-abdominal vessels cannot be used due to preexisting trauma/surgery or radiotherapy. Additional benefit is provided by achieving circumferential fascia closure using the vascularized fascia for abdominal wall reconstruction. Postoperative complications due to use of intraperitoneal vessels include intra-abdominal adhesions, hernia, and intra-abdominal organ ischemia. This chapter describes the anatomy, surgical exposure, and use of the intra-abdominal recipient vessels.
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The right gastroepiploic artery as a recipient vessel (MP4 68990 kb)
Evaluation of the pattern of anastomosis of the right and left gastroepiploic arteries at the center of the stomach. By clamping the right and left sides of the gastroepiploic artery respectively, if the pulsation is maintained, the right and left gastroepiploic arteries can be used as a single long vascular pedicle. When the pulsation is absent or diminished, the anastomosis between the right and left gastroepiploic arteries is insufficient; thus, each artery is used as an independent blood vessel (MP4 51730 kb)
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Matsumoto, H., Kimata, Y. (2021). Intra-abdominal/Intraperitoneal Vessels. In: Gurunian, R., Djohan, R. (eds) Recipient Vessels in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-75389-4_16
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DOI: https://doi.org/10.1007/978-3-030-75389-4_16
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