Intra-abdominal/Intraperitoneal Vessels

Intra-abdominal blood vessels can be used as recipient for microsurgical reconstruction of full-thickness chest or abdominal wall defects as well as reconstruction of thoracolumbar, pelvic, and perineal defects. In particular, intra-abdominal vessels are very helpful when extra-abdominal vessels cannot be used due to preexisting trauma/surgery or radiotherapy. Additional benefit is provided by achieving circumferential fascia closure using the vascularized fascia for abdominal wall reconstruction. Postoperative complications due to use of intraperitoneal vessels include intra-abdominal adhesions, hernia, and intra-abdominal organ ischemia. This chapter describes the anatomy, surgical exposure, and use of the intra-abdominal recipient vessels.