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PEDICLED ABDOMINAL FLAPS FOR LOWER TRUNK DEFECTS
Author(s) -
Mahadik P. J.,
Deva A.,
Yadav P. S.,
Quazi G. A.
Publication year - 2009
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.04927_38.x
Subject(s) - medicine , trunk , surgery , perforator flaps , reconstructive surgeon , abdominal wall , soft tissue , ecology , biology
Large defects of the lower trunk after cancer resections pose a challenge for a reconstructive surgeon. Pedicled flaps based on the deep inferior epigastric artery provide a very simple but an effective way to cover them. Methodology: 9 patients from 24–58 yrs of age were studied at 2 hospitals over a period of 2 yr (2007&2008). Soft tissue defects after resections of SCCs, melanomas etc ranged from 6 × 10 cm to 15 × 28 cm. All were reconstructed with an inferiorly based Rectus abdominus flap. Results: Almost all the patients had excellent results with no total flap loss. The average operative time was 2.5 hrs. Had a partial flap loss in one case and the average hospital stay being 7 days. Conclusion: The rectus flap with skin is quite reliable and a simple option for such complex defects. It provides enough bulk and skin pliability needed in these areas and are pretty fast to learn and do.