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We present a case with vertical rectusabdominis myocutaneous free flap in whichdeep inferior epigastric perforators does notnourish skin paddle of the flap. The skinpaddle of musclocutaneous flaps is nourishedby musculocutaneous perforators originatingfrom the main vascular system of the muscle.The skin paddle of rectus abdominis flap is alsosupplied by musculocutaneous perforators ofdeep inferior epigastric artery (1). Cutaneousperforators end directly within the skin. Theirorigin may be either from the source artery orfrom the subcutaneous or fascial brances (2).

Is Skin Nourishment Always Possible Through The Perforators In A Musculocutaneous Flap?