We present a case with vertical rectus
abdominis myocutaneous free flap in which
deep inferior epigastric perforators does not
nourish skin paddle of the flap. The skin
paddle of musclocutaneous flaps is nourished
by musculocutaneous perforators originating
from the main vascular system of the muscle.
The skin paddle of rectus abdominis flap is also
supplied by musculocutaneous perforators of
deep inferior epigastric artery (1). Cutaneous
perforators end directly within the skin. Their
origin may be either from the source artery or
from the subcutaneous or fascial brances (2).