Prevention of unfavorable free flap donor site results when using rectus abdomens musculocutaneous flaps

Atsushi Yamada, Takahiro Goto, Takehiko Sanada, Yoshimichi Imai, Chihiro Saitou, Atsuo Okada

Research output: Contribution to journalArticlepeer-review

Abstract

The free rectus abdominis musculocutaneous flap (free RA MC flap) can afford excellent results in autogenous reconstruction. However, despite the many advantages of this flap, its use involves a major surgical procedure that carries the risk of abdominal weakness, bulging, or hernia. Between 1995 and 2001, a total of 74 reconstructions were performed at our institution using free RA MC flaps. Sixty-one flaps were transferred for head and neck reconstruction, nine for trunk reconstruction, and four for reconstruction of the extremities. Of these cases, 60 were followed-up over 3 months. Among the 29 cases in which absorbable Dexon meshes were used, two cases experienced bulging, whereas there were five such cases among the 31 in which Dexon meshes were not used. There was no statistically significant difference between the two groups. However, in not a single one of these cases was there hernia, complaint of abdominal weakness, nor umbilical necrosis.

Original languageEnglish
Pages (from-to)1021-1025
Number of pages5
JournalJapanese Journal of Plastic and Reconstructive Surgery
Volume45
Issue number11
Publication statusPublished - 2002 Nov 1

ASJC Scopus subject areas

  • Surgery

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