Superomedial Pedicle Breast Reduction Part 3 - Doppler Use for Blood Vessel Identification | Surgery Spotlight-Surgery Spotlight: Superomedial Pedicle Breast Reduction Part 3 - Doppler Use for Blood Vessel Identification

Surgery Spotlight: Superomedial Pedicle Breast Reduction Part 3 - Doppler Use for Blood Vessel Identification

Video Transcription

So we're going to show the Doppler here. You don't need to do this, but it explains about the blood vessels. So you know that the veins tend to drain supra-immediately.  They're just underneath the dermis. We always see that when we de-epithelialize. But for the arteries, we have this artery that comes down from the second inner space, usually  just around breast meridian. And we'll see if I can catch it. So let's try the other  side sometimes. Now there, I got it right away. So that's the artery that comes down from the second inner space, so that you see if we did a true medial pedicle, we'd miss  that artery. And it's about a centimeter deep in the subcutaneous tissue, goes up around the breast parenchyma, deep to the veins. The veins and arteries do not travel together.  So that's a good example on that side.

Video Summary

The video discusses using a Doppler to explore blood vessel anatomy, focusing on veins and arteries near the breast. Veins drain supra-medially just beneath the dermis, often visible during de-epithelialization. An artery descends from the second interspace around the breast meridian. This artery, about a centimeter deep in subcutaneous tissue, runs around the breast parenchyma, deeper than the veins. Notably, veins and arteries do not travel together. Understanding this anatomy is crucial when performing procedures like a medial pedicle to avoid missing the artery.

Asset Caption

In this short video, Elizabeth Hall-Findlay, MD, uses a doppler to demonstrate the blood vessel structure of the breasts in a breast reduction patient. Surgeon Elizabeth Hall-Findlay, MD This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Breast

Elizabeth Hall-Findlay MD; Memben

blood vessel structure

doppler

Content Codes-VI.A.1. (COSM) Anatomy of the breasts

Content Codes-VI.A.1.f. (COSM) Vasculature

innervation and lymphatic drainage

Doppler

blood vessel anatomy

breast veins

breast arteries

medial pedicle procedure