Topographic Anatomy of the Blood Vessels in Anterior Abdominal Wall Implicating to Avoid the Vascular Complications in Lower Abdominal Liposuction: Computed Tomography Angiography

Authors

  • Chalermquan Na pattalung Instructor, Faculty of Medicine, Siam University
  • Siriporn Thanamee Instructor, MD., Specialist in Radiology, Pranangklao Hospital
  • Sataporn Charoensuk Instructor, Faculty of Medicine, Siam University
  • Wiwat Jorakit Instructor, Faculty of Medicine, Siam University
  • Amonrut Yuenyongwattanakul Instructor, Faculty of Medicine, Siam University
  • Sukanya Uruwan Instructor, College of Health Sciences, Christian University of Thailand
  • Tanvaa Tansatit Professor, MD., Faculty of Medicine, Siam University

Keywords:

Abdominal liposuction, Vessel in anterior abdominal wall, Computed tomography angiography

Abstract

The liposuction has become a popularly performed aesthetic procedure. It is continuously invented and developed for effective results. However, bleeding from a vascular injury during the procedure can become a major problem, such as hypovolemic shock. There are still few studies of blood vessels related to abdominal liposuction. And the location of these abdominal blood vessels is close to the procedure point. As a result, vascular injuries may occur. This study was investigated in the blood vessels of the lower abdomen and upper thighs by computed tomography angiography (CTA). From the vascular images of CTA in 100 hemi-abdomens without vascular pathology, anatomical information was studied. It was found that the superficial inferior epigastric artery originated 47.81±3.80 mm below the anterior superior iliac spine (ASIS) of the hip bone. It was positioned in relation to the inner vertical axis that divided the abdomen into three regions (Y1), ranging from -1.64 to +4.14 mm. The deep artery entered the rectus sheath at 1.97±1.14 mm medial to the Y1 axis and was 4.19±2.64 mm lower than the ASIS with an average diameter of 2.12±1.75 mm. Finally, this anatomical knowledge is beneficial for aesthetic physicians to ascertain the blood vessels. Therefore, vascular complications during abdominal liposuction can be avoided.

References

Bellini, E., Grieco, M. P., & Raposio, E. (2017). A journey through liposuction and liposculture: Review. Ann Med Surg (Lond), 24, 53-60.

Boucher, F., Brosset, S., Shipkov, H., Aimard, R., Rouviere, O., Braye, F., Mojallal, A. (2020). An anatomic study of deep inferior epigastric artery diameters at the origin from external iliac and at the lateral border of rectus abdominis muscle by computed tomographic angiography from autologous breast reconstruction patients. Ann Chir Plast Esthet, 65(1), 70-76.

Chae, M. P., Hunter-Smith, D. J., & Rozen, W. M. (2015). Comparative analysis of fluorescent angiography, computed tomographic angiography and magnetic resonance angiography for planning autologous breast reconstruction. Gland Surg, 4(2), 164-178.

Choi, H., & Shin, T. (2009). Rupture of a deep circumflex iliac artery after abdominal liposuction: treatment with selective arterial transcatheter embolization. Cardiovasc Intervent Radiol, 32(6), 1288-1290.

Franchi, A., Patane, L., Hummel, C. H., & Jung, F. (2024). Confusion regarding the anatomy of the superficial inferior epigastric artery and the superficial circumflex iliac artery superficial branch. Plast Reconstr Surg Glob Open, 12(4), e5714.

He, Y., Tian, Z., Ma, C., & Zhang, C. (2015). Superficial circumflex iliac artery perforator flap: Identification of the perforator by computed tomography angiography and reconstruction of a complex lower lip defect. Int J Oral Maxillofac Surg, 44(4), 419-423.

Kaoutzanis, C., Gupta, V., Winocour, J., Layliev, J., Ramirez, R., Grotting, J. C., & Higdon, K. (2017). Cosmetic liposuction: Preoperative risk factors, major complication rates, and safety of combined procedures. Aesthet Surg J, 37(6), 680-694.

Kita, Y., Fukunaga, Y., Arikawa, M., Kagaya, Y., & Miyamoto, S. (2020). Anatomy of the arterial and venous systems of the superficial inferior epigastric artery flap: A retrospective study based on computed tomographic angiography. J Plast Reconstr Aesthet Surg, 73(5), 870-875.

Lohasammakul, S., Tonaree, W., Suppasilp, C., Numwong, T., Ratanalekha, R., & Han, H. H. (2023). Superficial inferior epigastric artery flap: Vascular pattern and territory across the midline. J Reconstr Microsurg, 40(6), 435–442.

Pruksapong, C., Buarabporn, N., & Junkajorn, S. (2023). Efficacy of cold tumescent for prevention of intraoperative bleeding in patients undergoing liposuction: A double-blind randomized controlled trial-half-side comparison. Aesthet Surg J, 43(4), NP258-NP267.

Suh, H. S., Jeong, H. H., Choi, D. H., & Hong, J. P. (2017). Study of the medial superficial perforator of the superficial circumflex iliac artery perforator flap using computed tomographic angiography and surgical anatomy in 142 patients. Plast Reconstr Surg, 139(3), 738-748.

Tepelenis, K., Papathanakos, G., Kitsouli, A., Barbouti, A., Varvarousis, D. N., Kefalas, A., Kanavaros, P. (2023). Anatomical variations of the great saphenous vein at the saphenofemoral junction. A cadaveric study and narrative review of the literature. Vascular, 9, 17085381231174917. https://pubmed.Ncbi.Nlm.gov/37160721/

Downloads

Published

2025-03-20

Issue

Vol. 31 No. 1 (2025): January - March 2025

Section

Research Article

License

Copyright (c) 2025 Christian University of Thailand

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.