INTRODUCTION Reconstruction of a full thickness abdominal wall defect is a demanding procedure for general and also for plastic surgeons, requiring vigorous planning and reconstruction of three layers. CASE OUTLINE We present a case of a 70-year-old patient with a huge abdominal wall tumor with 40 years evolution. Surgery was performed under general anesthesia. Full thickness abdominal defect...

Management of abdominal wall defects can occur after blast injury. Reconstruction requires a multidisciplinary approach management for speedy and satisfactory recovery. We present a case of blast injury which resulted in abdominal wall defect along with skin and soft tissue defect over penis. Abdominal wall was reconstructed by mesh application to strengthen the abdominal wall followed by a tra...

The authors report their experience with a method for definitive abdominal wall reconstruction using the free tensor fascia lata musculofasciocutaneous flap anastomosed to the intraperitoneal gastroepiploic vessels. This is a single-stage reconstruction capable of reconstructing reliably a full-thickness defect involving any region of the abdominal wall. The fascial component of the flap recons...

UNLABELLED No studies have assessed the perfusion of the undermined abdominal skin in breast reconstruction with deep inferior epigastric artery perforator flap. A greater understanding of the procedure's impact on the perfusion of the abdominal skin can be valuable in predicting areas susceptible to necrosis. METHODS Microcirculatory changes were monitored in the abdominal skin of 20 consecu...

The advantages of breast reconstruction using the deep inferior epigastric perforator (DIEP) flap and the muscle-sparing free transverse rectus abdominis musculocutaneous (TRAM) flap (MS-2) are well recognized. Both techniques optimize abdominal function by maintaining the vascularity, innervation, and continuity of the rectus abdominis muscle. The purpose of this study was to compare these two...

www.PRSGlobalOpen.com Shimpei Miyamoto, MD Division of Plastic and Reconstructive Surgery National Cancer Center Hospital Tokyo, Japan Sir: T anterolateral thigh flap usually contains 2 comitant veins. The strength of the venous return flow differs between the 2 veins.1 To ensure flap survival, anastomosis of both veins has been recommended by several authors because there is little or no commu...

BACKGROUND/AIM The pedicled transverse rectus abdominis myocutaneous (TRAM) flap remains widely used as a breast reconstruction technique. The bipedicled TRAM flap is not as preferable as it was formerly, mainly because of its donor site complications. However, in a number of situations, a bipedicled TRAM flap may be the only alternative. Therefore, a three-layer primary closure technique used ...

BACKGROUND Usually, several surgical methods are used, with re-suturing, free skin grafting and local flaps, for the reconstruction of wall defects after abdominoperineal resection. However, or larger defects, free flaps have been preferred because they can provide a large area of well-vascularized soft tissue, which is suitable for defect repair. We present the case of a large abdominal wall d...