首页 | 本学科首页   官方微博 | 高级检索  
检索        


Reconstruction of complex thoraco-abdominal defects with extended anterolateral thigh flap
Authors:Prabha S Yadav  Quazi G Ahmad  Vinay Kant Shankhdhar  G I Nambi  and C S Pramesh
Institution:Plastic & Reconstructive Services, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai, Maharashtra, India;1Division of Thoracic Surgery, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai, Maharashtra, India
Abstract:

Background:

The reconstruction of complex thoraco-abdominal defects following tumour ablative procedures has evolved over the years from the use of pedicle flaps to free flaps. The free extended anterolateral thigh flap is a good choice to cover large defects in one stage.

Materials and Methods:

From 2004 to 2009, five patients with complex defects of the thoracic and abdominal wall following tumour ablation were reconstructed in one stage and were studied. The commonest tumour was chondrosarcoma. The skeletal component was reconstructed with methylmethacrylate bone cement and polypropylene mesh and the soft tissue with free extended anterolateral thigh flap. The flaps were anastomosed with internal mammary vessels. The donor sites of the flaps were covered with split-skin graft.

Result:

All the flaps survived well. One flap required re-exploration for venous congestion and was successfully salvaged. Two flaps had post operative wound infection and were managed conservatively. All flap donor sites developed hyper-pigmentation, contour deformity and cobble stone appearance.

Conclusion:

Single-stage reconstruction of the complex defects of the thoraco-abdominal region is feasible with extended anterolateral thigh flap and can be adopted as the first procedure of choice.
Keywords:Thoraco-abdominal defect  microsurgical reconstruction  free anterolateral thigh flap  extended anterolateral thigh flap
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号