INTRODUCTION The deep inferior epigastric perforator (DIEP) flap is currently viewed as the gold standard in autologous breast reconstruction. We studied three-dimensional computed tomography angiography (CTA) in 145 patients undergoing free abdominal flap breast reconstruction to try to correlate deep inferior epigastric artery (DIEA) branching pattern with the type of flap performed and pati...

1 Tissue of amputated or nonsalvageable limbs may be used for reconstruction of complex defects. Fillet flaps can be used to treat traumatic, oncologic, or pressureinduced wounds. The classical fillet flap is defined as an axial-pattern flap harvested from amputated, discarded or otherwise nonfunctioning or nonsalvageable areas of the body that can be used as a pedicled, island, or microvascula...

INTROduCTION: Historically the use of the SIEA flap is limited by a short pedicle with a smalldiameter artery. The use of the SIEA flap was proven less reliable when the SIEA diameter was less than 1.5mm at the level of the lower abdominal incision with an increase in arterial thrombotic complications. Although favorable results have been published with the use of small caliber vessels as well....

Introduction: Hernias anterior to the sternum have rarely been reported and usually occur in the context of abdominal trauma. The literature reports hernia as a complication of omental flap reconstruction, but as yet there is little information on the laparoscopic repair of large subxiphoid hernia resulting from omental flap reconstruction. Case: A 52-year-old woman presented 2 years after surg...

INTROduCTION: Historically the use of the SIEA flap is limited by a short pedicle with a smalldiameter artery. The use of the SIEA flap was proven less reliable when the SIEA diameter was less than 1.5mm at the level of the lower abdominal incision with an increase in arterial thrombotic complications. Although favorable results have been published with the use of small caliber vessels as well....

Background: The use of a bipedicled transverse rectus abdominis myocutaneous (TRAM) flap in breast reconstructions has required the prophylactic use of mesh in the lower seg ment of the hypogastrium, because of the frequency of bulging and herniations in the middle to long term. This study aims to record a technical procedure routinely used in breast recons­ tructions: bipedicled TRAM flap with...

BACKGROUND Abdominal wall free flaps are used most frequently in autologous breast reconstruction, and these flaps require intact and robust deep inferior epigastric perforator (DIEP) vessels. Pfannenstiel incisions are often present during preoperative visits for breast reconstruction and could potentially signal compromised blood supply to the lower abdominal wall. In this study, we compared ...

OBJECTIVE To develop a reproducible free-flap animal model to study the effects of irradiation on flap revascularization. DESIGN After institutional animal care and use committee review and approval, 16 Sprague-Dawley rats were subjected to either 23- or 40-Gy electron beam irradiation to their ventral abdominal wall. After a recovery period, the animals then underwent a ventral fasciocutaneo...

METHODS Patients who underwent abdominoperineal resections for anorectal or vulvovaginal cancer were retrospectively analyzed. We include all the patients who could not be repaired by direct closure due to excessive skin tension. We assessed the different flaps used, the surgical complications rate, wound healing, or the progression to chronic wounds. RESULTS We identified 20 patients who under...