open access

Vol 75, No 1 (2016)
ORIGINAL ARTICLES
Published online: 2016-02-29
Submitted: 2015-05-13
Accepted: 2015-06-10
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Vascular anatomical features of the medial thigh flap in human cadavers of Caucasian origin

M. Edizer, A. O. Magden, V. Tayfur, G. N. Yonguc, N. Gocmen-Mas
DOI: 10.5603/FM.a2015.0063
·
Pubmed: 26365865
·
Folia Morphol 2016;75(1):27-32.

open access

Vol 75, No 1 (2016)
ORIGINAL ARTICLES
Published online: 2016-02-29
Submitted: 2015-05-13
Accepted: 2015-06-10

Abstract

Background: Medial fasciocutaneous flaps, which are based on the femoral artery from the thigh region, are used for wide inguinal, scrotal, vaginal, perineal, leg, head and neck defect reconstructions in injured human patients. Within this regard, anatomical knowledge about perforating and cutaneous branches of the femoral artery is important for the surgeons.

Materials and methods: In the present study, vascular pedicles of the medial thigh perforator flap based on the femoral artery were investigated according to anatomical and surgical landmarks. Human Caucasian preserved cadavers of 15 adults (13 males, 2 females; age range 55–82 years: 30 sides, bilaterally) that were previously formalin fixed were subjected to our analytical examinations. Micro dissections were performed under 4× loop magnification while representing the perforating branches of the femoral artery after filling by coloured latex injection via the external iliac artery.

Results: The size and length parameters of these branches which appeared around the apex of the femoral triangle were evaluated. The mean size of the perforating branch at the point of origin was 0.14 cm and the mean size of the cutaneous branch at the point of origin was 0.09 cm, the mean length of the pedicle was 4.74 cm and the mean length of the cutaneous branch was 3.30 cm, respectively. Location of the perforating and the cutaneous branches were also determined according to the surgical landmarks such as the anterior superior iliac spine, inguinal ligament, pubic tubercle and interepicondylar line.

Conclusions: The pedicle of the medial flap should locate up to 25 cm from the anterior superior iliac spine so as to preserve the vascular structures. Exact location of this artery helps the surgeons to perform anastomosis in an easier and safer manner during surgical operations.  

Abstract

Background: Medial fasciocutaneous flaps, which are based on the femoral artery from the thigh region, are used for wide inguinal, scrotal, vaginal, perineal, leg, head and neck defect reconstructions in injured human patients. Within this regard, anatomical knowledge about perforating and cutaneous branches of the femoral artery is important for the surgeons.

Materials and methods: In the present study, vascular pedicles of the medial thigh perforator flap based on the femoral artery were investigated according to anatomical and surgical landmarks. Human Caucasian preserved cadavers of 15 adults (13 males, 2 females; age range 55–82 years: 30 sides, bilaterally) that were previously formalin fixed were subjected to our analytical examinations. Micro dissections were performed under 4× loop magnification while representing the perforating branches of the femoral artery after filling by coloured latex injection via the external iliac artery.

Results: The size and length parameters of these branches which appeared around the apex of the femoral triangle were evaluated. The mean size of the perforating branch at the point of origin was 0.14 cm and the mean size of the cutaneous branch at the point of origin was 0.09 cm, the mean length of the pedicle was 4.74 cm and the mean length of the cutaneous branch was 3.30 cm, respectively. Location of the perforating and the cutaneous branches were also determined according to the surgical landmarks such as the anterior superior iliac spine, inguinal ligament, pubic tubercle and interepicondylar line.

Conclusions: The pedicle of the medial flap should locate up to 25 cm from the anterior superior iliac spine so as to preserve the vascular structures. Exact location of this artery helps the surgeons to perform anastomosis in an easier and safer manner during surgical operations.  

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Keywords

medial thigh flap, vascular pedicle, femoral artery, reconstruction

About this article
Title

Vascular anatomical features of the medial thigh flap in human cadavers of Caucasian origin

Journal

Folia Morphologica

Issue

Vol 75, No 1 (2016)

Pages

27-32

Published online

2016-02-29

DOI

10.5603/FM.a2015.0063

Pubmed

26365865

Bibliographic record

Folia Morphol 2016;75(1):27-32.

Keywords

medial thigh flap
vascular pedicle
femoral artery
reconstruction

Authors

M. Edizer
A. O. Magden
V. Tayfur
G. N. Yonguc
N. Gocmen-Mas

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