Abdominal wall defects are a challenge for plastic surgeons. Soft-tissue sarcoma is very recurrent and it is necessary to make extensive exeresis with oncological margin and, as a result, there are large areas to be reconstructed. The transverse rectus abdominis flap is a reconstructive option for this region and with good aesthetic and functional results. The objective of the work is to show the results of the immediate reconstruction of the abdominal wall after an extensive oncological exeresis. We present the case of a female patient, mestiza, aged 60 years, with a diagnosis of soft-tissue sarcoma, which encompassed all the left inferior hemiabdomen to the left costal margin limits, compromised the aponeurosis, the left rectus muscle, and a small part of the peritoneum that was repaired. A wide exeresis was decided and the reconstruction was planned with a transverse rectus abdominis myocutaneous flap. Polypropylene meshes were used. The immediate reconstruction of the oncological defect was achieved with good aesthetic and functional results.

Abdominal wall reconstruction with transverse rectus abdominis myocutaneous flap. [Reconstrucción de la pared abdominal con colgajo miocutáneo transverso de recto abdominal] / Sánchez Wals, Lenia; Luis Vázquez González, Carlos; Castellanos Prada, Ariel; Marcasciano, Marco; Crespo Álvarez, Alejandro. - In: REVISTA CUBANA DE CIRUGÍA. - ISSN 1561-2945. - ELETTRONICO. - (2018).

Abdominal wall reconstruction with transverse rectus abdominis myocutaneous flap. [Reconstrucción de la pared abdominal con colgajo miocutáneo transverso de recto abdominal]

Marco Marcasciano;
2018

Abstract

Abdominal wall defects are a challenge for plastic surgeons. Soft-tissue sarcoma is very recurrent and it is necessary to make extensive exeresis with oncological margin and, as a result, there are large areas to be reconstructed. The transverse rectus abdominis flap is a reconstructive option for this region and with good aesthetic and functional results. The objective of the work is to show the results of the immediate reconstruction of the abdominal wall after an extensive oncological exeresis. We present the case of a female patient, mestiza, aged 60 years, with a diagnosis of soft-tissue sarcoma, which encompassed all the left inferior hemiabdomen to the left costal margin limits, compromised the aponeurosis, the left rectus muscle, and a small part of the peritoneum that was repaired. A wide exeresis was decided and the reconstruction was planned with a transverse rectus abdominis myocutaneous flap. Polypropylene meshes were used. The immediate reconstruction of the oncological defect was achieved with good aesthetic and functional results.
2018
abdominal wall reconstruction; rectus abdominis myocutaneous flap
01 Pubblicazione su rivista::01i Case report
Abdominal wall reconstruction with transverse rectus abdominis myocutaneous flap. [Reconstrucción de la pared abdominal con colgajo miocutáneo transverso de recto abdominal] / Sánchez Wals, Lenia; Luis Vázquez González, Carlos; Castellanos Prada, Ariel; Marcasciano, Marco; Crespo Álvarez, Alejandro. - In: REVISTA CUBANA DE CIRUGÍA. - ISSN 1561-2945. - ELETTRONICO. - (2018).
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1101695
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