Buchumschlag

Sliding free transverse rectus abdominis myocutaneous flap for closure of a massive abdominal wall defect: a case report

Despite considerable advances in reconstructive surgery, massive abdominal wall defects continue to pose a significant surgical challenge. We report the case of a 72-year-old morbidly obese female patient with Clostridium septicum-related gas gangrene of the abdominal wall. After multidisciplinary t...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Senghaas, Annika (VerfasserIn) , Kremer, Thomas (VerfasserIn) , Schmidt, Volker-Jürgen (VerfasserIn) , Harhaus-Wähner, Leila (VerfasserIn) , Hirche, Christoph (VerfasserIn) , Kneser, Ulrich (VerfasserIn) , Bigdeli, Amir Khosrow (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2019
In: Microsurgery
Year: 2019, Jahrgang: 39, Heft: 2, Pages: 174-177
ISSN:1098-2752
DOI:10.1002/micr.30309
Online-Zugang:Verlag, Volltext: https://doi.org/10.1002/micr.30309
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/micr.30309
Volltext
Verfasserangaben:Annika Senghaas MD, Thomas Kremer MD, Volker J. Schmidt MD, Leila Harhaus MD, Christoph Hirche MD, Ulrich Kneser MD, Amir K. Bigdeli MD
Beschreibung
Zusammenfassung:Despite considerable advances in reconstructive surgery, massive abdominal wall defects continue to pose a significant surgical challenge. We report the case of a 72-year-old morbidly obese female patient with Clostridium septicum-related gas gangrene of the abdominal wall. After multidisciplinary treatment and multiple extensive debridements, a massive full-thickness defect (40 cm × 35 cm) of the right abdominal wall was present. The abdominal contents were covered with a resorbable mesh to prevent evisceration. Finally, the composite defect was successfully reconstructed through a contralateral extended free transverse rectus abdominis myocutaneus (TRAM) flap (50 cm × 38 cm). An arterio-venous loop to the superficial femoral vessels using the great saphenous vein was necessary to allow the flap to reach the defect. Postoperatively, a minor wound healing disorder of the flap was successfully treated with split skin grafting. Six month after surgery, the patient presented with a completely healed flap coverage area and a small abdominal hernia without the need of further surgical revision. This case illustrates the use of a sliding free TRAM flap for closure of a massive abdominal wall defect.
Beschreibung:First published: 16 February 2018
Gesehen am 05.12.2019
Beschreibung:Online Resource
ISSN:1098-2752
DOI:10.1002/micr.30309

Ähnliche Einträge