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The total thigh and rectus abdominis myocutaneous flap for closure of extensive hemipelvectomy defects
Author(s) -
Temple Walley J.,
Mnaymneh Walid,
Ketcham Alfred S.
Publication year - 1982
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19821201)50:11<2524::aid-cncr2820501145>3.0.co;2-x
Subject(s) - hemipelvectomy , medicine , surgery , thigh , rectus abdominis muscle , pelvis , soft tissue
Hemipelvectomy is a lifesaving procedure when used appropriately and yields a 35%, five‐year survival in the cancer patient. However, the standard posterior flap for closure is not always available. Two flaps, the thigh flap and the rectus abdominis myocutaneous flap, are described in which any soft tissue defect resulting from hemipelvectomy can be safely closed primarily when the posterior flap is not available. The total rectus abdominis flap is previously undescribed and unique in its application. These techniques significantly contribute to the surgeon's armamentarium for decreasing morbidity and mortality and resectability of unusual pelvic and thigh tumors.