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Fig. 1 | World Journal of Surgical Oncology

Fig. 1

From: Posterior intercostal flap: an anatomical study and best flap design

Fig. 1

a A photograph of the right side of the back showing 2 perforators (P1 and P2) in the medial zone, 3 perforators in the intermediate zone (P3, P4, P5), and 4 perforators in the lateral zone (P6, P7, P8, P9). Medial zone perforators are accompanied by veins. Ld is latissimus dorsi muscle, Es is erector spinae muscle and M is the midline of the back. b A close up photograph of the upper part of the previous specimen after cutting and reflecting the vertebral origin of latissimus dorsi (Ld). P1 is a large perforator that comes from the 9th intercostal space and gives many branches to the surrounding muscles and skin. Several medial zone perforators (Pm) appear above and below P1 and reach the skin. The erector spinae muscle (Es), serratus posterior superior muscle (SPS), the 6th to 9th ribs (r6 to r9), P3, and P6 are noted. c A close up photograph of the lower part of the previous specimen. P1 is the largest medial perforator that terminates in the skin as two terminal branches: upper one (a) and lower one (b). Several medial smaller musculocutaneous perforators (Pm) come of the intercostal spaces below P1 and reach the skin. The latissimus dorsi (Ld) and the 9th to 12th ribs (r9 to r12) are noted

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