Flap reconstruction of the abdominal wall

作     者：Sneha Patel Alexander F.Mericli Sahil K.Kapur Margaret S.Roubaud Charles E.Butler Sneha Patel;Alexander F. Mericli;Sahil K. Kapur;Margaret S. Roubaud;Charles E. Butler

作者机构：Department of Plastic SurgeryThe University of Texas M.D. Anderson Cancer CenterHoustonTX 77030USA 

出 版 物：《Plastic and Aesthetic Research》 (整形与美容研究（英文版）)

年 卷 期：2020年第7卷第4期

页      面：20-26页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Abdominal wall reconstruction surgical flaps pedicled flap free flap bioprosthetic mesh hernia reconstructive surgical procedures 

摘      要：Large abdominal cutaneous defects may occur in association with complex ventral hernias, trauma, tumor resection, necrotizing infections or septic evisceration. Soft tissue reconstruction of the abdominal wall is performed when there is insufficient adipocutaneous tissue to permit standard, primary closure. A number of reconstructive techniques are available, the choice of which is based on a number of factors, including the size and location of the defect, etiology, and timing of closure. In general, local fasciocutaneous advancement flaps and adjacent tissue rearrangement are the workhorse techniques, followed by regional myocutaneous flaps and free tissue transfers for the most complex and extensive of defects. Herein, we describe our approach to abdominal soft tissue reconstruction, indications, technical nuances, and management of complications.