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Inferior Gluteal Artery Perforator Flap: Anatomic Study

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Breast Reconstruction

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Abstract

The inferior gluteal artery perforator flap, which is vascularized by perforator branches of the inferior gluteal artery (formerly ischiatic artery) is harvested in the gluteal crease. The purpose of this anatomical study was to clarify the anatomical features of this flap and locate the perforators of the inferior gluteal artery destined to the flap, in view to facilitate its surgical removal, as free flap for breast reconstruction.. The authors performed 12 dissections on fresh cadavers, after selective injection of the inferior gluteal artery with a gelled solution. During harvesting the perforators were located which arise from the inferior gluteal artery and perfuse the flap. There are four zones, defined relatively to anatomical landmarks of the region, according to the frequency of perforators. This anatomical study enables to steer the surgical harvesting of this flap in its free shape for breast autologous reconstruction especially given its numerous advantages: a constant volume of fat even in thin patients and minimal donor site morbidity.

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Author information

Authors and Affiliations

  1. Plastic Surgery Department, Regional Hospital, Moulay Youssef Hospital, N° 2 rue Al Jaoutann, Sect 22K. Hay Ryad, Rabat, 10000, Morocco

    Mounia El Omari M.D.

  2. Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Maroc

    Mounia El Omari M.D.

  3. Service de Chirurgie Plastique-Brûlés, Centre Hospitalier Universitaire de Bordeaux, Groupe Pellegrin-Tondu, Place Amélie-Raba-Léon, Bordeaux, 33076, France

    Vincent Casoli M.D., Ph.D.

  4. Service de Chirurgie Plastique, Centre Francois.-Xavier.-Michelet, Centre Hospitalier Universitaire de Bordeaux, Groupe hospitalier Pellegrin, Bordeaux, France

    Vincent Pinsolle M.D., Ph.D.

Authors
  1. Mounia El Omari M.D.
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  2. Vincent Casoli M.D., Ph.D.
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  3. Vincent Pinsolle M.D., Ph.D.
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Correspondence to Mounia El Omari M.D. .

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Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

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© 2016 Springer International Publishing Switzerland

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El Omari, M., Casoli, V., Pinsolle, V. (2016). Inferior Gluteal Artery Perforator Flap: Anatomic Study. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_4

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  • DOI: https://doi.org/10.1007/978-3-319-18726-6_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

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