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Updated: Aug 14, 2026

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In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
Published on: June 8, 2013
[Microvascular structure of the transmidline scapular flap]
Ran Huo1, Senkai Li, Yangqun Li
1Plastic Surgery Hospital, Beijing 100041, China.
Summary
This study reveals the vascular network of the transmidline scapular flap, confirming its safety for reconstructive surgery. The flap
Area of Science:
- Anatomy and physiology
- Microsurgery
- Plastic and reconstructive surgery
Context:
- The transmidline scapular flap is a reconstructive option.
- Understanding its vascular supply is crucial for surgical success.
Purpose:
- To investigate the detailed microvascular architecture of the transmidline scapular flap.
- To assess the vascular pedicle provided by the unilateral circumflex scapular artery.
Summary:
- Cadaveric dissection and injection studies revealed a rich microvascular network within the flap.
- Three vascular patterns (arch, communicating branches, arterial rate) form a 3D framework.
- Vessels extend across the midline, with density highest on the injection side and upper contralateral back.
Impact:
- Provides evidence for the vascular pattern and safety of the transmidline scapular flap.
- Informs surgical technique, suggesting distal flap placement in the upper back for optimal vascularity.

