The study highlights the anatomical importance of the superficial inferior epigastric artery system in the blood supply of the anterior abdominal wall, which is relevant for flap surgeries.
May inform flap design in abdominal wall reconstruction; leaves open need for clinical outcome correlation in larger series.
The key to understanding the blood supply of the anterior hemiabdomen is knowledge of the central superficial inferior epigastric artery system and the peripheral contribution of the epigastric, deep and superficial circumflex, and iliac arteries and external oblique perforators. These systems all feed into the subdermal plexus of the anterior abdominal wall. Angiographic confirmation of multiple communications between the superficial inferior epigastric artery and other major sources of abdominal wall blood supply has been obtained. Experience using the superficial inferior epigastric artery flap as a pedicled and microsurgical transfer has been described.
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Hester et al. (1984) studied this question.
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