Martin Lhuaire1,2,3, Mikael Hivelin4, Mohamed Derder4, Vincent Hunsinger4, Vincent Delmas5, Peter Abrahams6, Daniele Sommacale7, Reza Kianmanesh7, Christian Fontaine8, Laurent Lantieri4. 1. Department of Plastic, Reconstructive and Aesthetic Surgery, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Université Paris Descartes, Paris V, 20 rue Leblanc, 75908, Paris Cedex 15, France. martin.lhuaire@etudiant.univ-reims.fr. 2. Institute of Anatomy and Organogenesis, Faculté de Médecine Henri Warembourg, Université de Lille II, Lille, France. martin.lhuaire@etudiant.univ-reims.fr. 3. Department of General and Digestive Surgery, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France. martin.lhuaire@etudiant.univ-reims.fr. 4. Department of Plastic, Reconstructive and Aesthetic Surgery, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Université Paris Descartes, Paris V, 20 rue Leblanc, 75908, Paris Cedex 15, France. 5. Institute of Anatomy, URDIA, EA4465, UFR Biomédicale des Saints-Pères, Université Paris Descartes, Paris V, Paris, France. 6. Institute of Anatomy and Clinical Education, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK. 7. Department of General and Digestive Surgery, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France. 8. Institute of Anatomy and Organogenesis, Faculté de Médecine Henri Warembourg, Université de Lille II, Lille, France.
Abstract
PURPOSE: While anatomical variations of the subscapular vessels are frequently encountered during axillary dissection, little is found in the literature. The aim of this cadaveric study was to define arterial and venous anatomical variations and frequencies of the subscapular vascular pedicle and its terminal/afferent vessels in women. METHODS: We performed 80 dissections of the axillary region on forty female formalin-embalmed cadavers. Each anatomical arrangement was photographed and recorded on a scheme before analysis. RESULTS: We propose a new classification of the subscapular pedicle variations. We observed three types of subscapular arterial variation. The type Ia was the most frequent arrangement (71% of our dissections), the type Ib was observed in 11% and the type II in 18% of cases. We observed four types of subscapular venous variation. The type Ia was observed in 63% of cases, the type Ib in 14%, the type II in 14% and the type III in 10% of cases. CONCLUSIONS: This knowledge of the anatomical variation arrangement and frequencies of the subscapular vascular pedicle will assist the surgeon when dissecting the axillary region for malignant or reconstructive procedures.
PURPOSE: While anatomical variations of the subscapular vessels are frequently encountered during axillary dissection, little is found in the literature. The aim of this cadaveric study was to define arterial and venous anatomical variations and frequencies of the subscapular vascular pedicle and its terminal/afferent vessels in women. METHODS: We performed 80 dissections of the axillary region on forty female formalin-embalmed cadavers. Each anatomical arrangement was photographed and recorded on a scheme before analysis. RESULTS: We propose a new classification of the subscapular pedicle variations. We observed three types of subscapular arterial variation. The type Ia was the most frequent arrangement (71% of our dissections), the type Ib was observed in 11% and the type II in 18% of cases. We observed four types of subscapular venous variation. The type Ia was observed in 63% of cases, the type Ib in 14%, the type II in 14% and the type III in 10% of cases. CONCLUSIONS: This knowledge of the anatomical variation arrangement and frequencies of the subscapular vascular pedicle will assist the surgeon when dissecting the axillary region for malignant or reconstructive procedures.
Authors: Martin Lhuaire; Karl Wehbe; Ignacio Garrido; Vincent Hunsinger; Mohamed Derder; Vincent Balaya; Vincent Delmas; Peter Abrahams; Daniele Sommacale; Reza Kianmanesh; Christian Fontaine; Laurent Lantieri Journal: Surg Radiol Anat Date: 2020-11-02 Impact factor: 1.246
Authors: Thomas F Barrett; Hilary Orlowski; Jason Rich; Ryan S Jackson; Patrik Pipkorn; Sidharth V Puram Journal: Oral Oncol Date: 2022-01-05 Impact factor: 5.337
Authors: Martin Lhuaire; Guillaume Wavreille; Mikael Hivelin; Aurélien Aumar; Vincent Hunsinger; Mohamed Derder; Alexandre G Lellouch; Peter Abrahams; Laurent Lantieri; Christian Fontaine Journal: JPRAS Open Date: 2022-05-14