Reconstruction of an extensive thigh defect with the paraumbilical TRAM flap |
| |
Authors: | Senchenkov Alex Thomford Neil R Barone Frank E |
| |
Institution: | Department of Surgery and the dagger Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical College of Ohio Hospitals, Toledo, OH 43615, USA. |
| |
Abstract: | Reconstruction of extensive defects after radical resection of soft-tissue sarcomas of the extremities has become an essential part of the limb salvage approach to the management of these tumors. The authors describe the successful use of a paraumbilical transverse rectus abdominis musculocutaneous flap with the pedicle based on the inferior epigastric artery for reconstruction of a 24- x 22-cm soft-tissue and skin defect of the anterior thigh after wide local excision of a recurrent malignant fibrous histiocytoma. The ability to mobilize a large amount of well-vascularized soft tissue from an acceptable donor site, the versatility of flap design, the extensive arc of rotation, and the dependability of the inferior epigastric vascular pedicle are all distinct advantages of using this flap in the reconstruction of massive defects of the thigh. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|