The exstrophy-epispadias-complex (EEC) is a rare congenital malformation with spectrum of abdominal-pelvic fusion abnormalities, an incidence 1/46,000 LB. Recurrence 1 in100 & the male-to-female ratio 2.3:1. Patients rarely may present in adulthood due to lack knowledge or financial constraints; it increases risk bladder carcinoma mostly adenocarcinoma squamous carcinoma, chronic inflammati...

BACKGROUND Some of the 600,000 patients with solid organ allotransplants need reconstruction with a composite tissue allotransplant, such as the hand, abdominal wall, or face. The aim of this study was to develop a rat model for assessing the effects of a secondary composite tissue allotransplant on a primary heart allotransplant. METHODS Hearts of Wistar Kyoto rats were harvested and transpl...

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Case 1 MG is a 61 year old arthrosclerotic amputee who, following a right popliteal by-pass graft, required a left auxiliary bifemoral by-pass. Unfortunately there was a problem with healing and the vascular graft became exposed in the left groin. The vascularity of the tissue below the transverse abdominal scar was severely compromised and on surgery, it was found there was no viable rectus mu...

Background: Soft tissue defect of dorsum hand is a difficult problem to deal with in reconstructive surgery. Various factors have be considered for planning the reconstruction. Aims and Objectives: To assess overall incidence soft on hand, evaluation different options coverage assessment outcome complications (both primary donor sites) procedures like tissue. Materials Methods: We present our e...

BACKGROUND The use of progressive tension sutures has been shown to be comparable to the use of abdominal drains in abdominoplasty. However, the use of barbed progressive tension sutures (B-PTSs) in deep inferior epigastric artery perforator (DIEP) flap donor-site closure has not been investigated. METHODS A retrospective chart review was performed on patients with DIEP flap reconstruction in...

Cloacal exstrophy is an extremely rare congenital complex deformity that is associated with anterior abdominal wall defects, reflex and exposure of the cloaca (uninterrupted ureter and bowel), aproctia, a widely separated pubic bone, and defects or dysplasia of external genital organs. Here, we present the case of a 42-year-old man with squamous cell carcinoma arising from an abdominal wall def...

INTRODUCTION The deep inferior epigastric artery perforator free flap is the gold standard for autologous breast reconstruction. However, using a single vascular pedicle may not yield sufficient tissue in patients with midline scars or insufficient lower abdominal pannus. Double-pedicled free flaps overcome this problem using different vascular arrangements to harvest the entire lower abdominal...

The purpose of the present study was to determine whether contour abnormalities of the abdomen after breast reconstruction with abdominal flaps are related to the harvest of the rectus abdominis muscle. Abdominal contour was analyzed in 155 women who had breast reconstruction with abdominal flaps; 108 women had free transverse rectus abdominis muscle (TRAM) flaps, 37 had pedicled TRAM flaps, an...