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A novel method of minimally invasive rectus abdominis muscle flap harvest: Laparoscopic surgeons take note
Author(s) -
Tabish Aijaz,
Dhruv Singhal,
Sanda Tan,
Atif Iqbal
Publication year - 2017
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.379
H-Index - 26
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.186688
Subject(s) - medicine , cosmesis , surgery , rectus abdominis muscle , fascia , abdominal wall , rectovaginal fistula , rectus sheath , laparoscopy , fistula
The rectus abdominis muscle (RAM) is a workhorse flap to fill or repair abdominal defects. A drawback of an open RAM harvest is donor site morbidity, and minimally invasive techniques for flap harvesting have been previously proposed but involve vertical division of the rectus fascia. We present a case of a 52-year-old woman with a recurrent rectovaginal fistula in a radiated field treated with a laparoscopic low anterior resection with simultaneous RAM flap harvest utilising a single Pfannenstiel incision. Our novel modified laparoscopic-assisted RAM harvest technique prevents longitudinal violation of the anterior and posterior rectus sheaths, thereby promoting a quick recovery, improved cosmesis and decreased post-operative morbidity.

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