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Abstract:

Front abdominal wall (FAW) flap – is known to be the best method of mammary gland restoration. Classical TRAM flap are replaced by muscle-saving analogs. To decrease the risk of FAW weakness autotransplantates made of skin, hypodermic cellulose and vessels have been developed. Such flaps are optimal for mammary gland restoration, but, unfortunately, their practical usage is complicated due to technical difficulties, linked with microsurgical technique for anastamosis. Anatomic variability of blood system also complicates their usage. CT-angiography of FAW – is known to be recently used method in patients going to have restoration of mammary gland with FAW-anastamosis flap, in order to define epigastric artery inferior (EAI). The article consists of the scientific work comparative analysis, which are devoted to the preoperative FAW vessels features estimation. There are developed CT-angiographic modes, which allows to obtain high-quality EAI and all its branches visualization, almost in 100% cases and that provides an opportunity to decrease patient’s beam loading. Obtained EAI topographic data can decrease the time of intervention.  

 

 

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