Transverse abdominal flaps and the deep epigastric arcade

Area of Science:

• Surgical techniques
• Plastic and reconstructive surgery
• Anatomy

Background:

• The deltopectoral flap, based on the internal mammary artery, is a well-established reconstructive option.
• Limitations of existing flaps necessitate the exploration of alternative reconstructive methods.

Purpose of the Study:

• To describe further experience with the transverse abdominal flap.
• To highlight its anatomical basis and potential advantages over existing techniques.

Main Methods:

• Detailed description of the transverse abdominal flap design.
• Emphasis on its vascular supply from the deep epigastric arcade.
• Evaluation of its applicability without a delay procedure.

Main Results:

• The transverse abdominal flap is a viable extension of reconstructive principles.
• Its blood supply is reliably provided by the perforating branches of the deep epigastric arcade.
• The flap can be successfully harvested and utilized without requiring a prior delay procedure.

Conclusions:

• The transverse abdominal flap represents a valuable addition to the reconstructive surgeon's armamentarium.
• Its anatomical basis and potential for immediate use offer significant advantages.
• Further clinical application is warranted to fully establish its role in plastic and reconstructive surgery.