Taehan Mise Susul Hakhoe chi; The journal of the Korean Microsurgical Society; 대한미세수술학회지
The rectus abdominis myocutaneous flap is frequently used in the field of plastic and
reconstructive surgery such as breast reconstruction and as a donor of free tissue
transfer. Major problems with this flap is bulkiness, the possibility of postoperative
abdominal herniation and muscle weakness following the removal of the rectus
abdominis muscle. We used paraumbilical perforator based skin flap fed by a muscle
perforator from the deep inferior epigastric artery, with no or little muscle and fatty
tissue, in three patients for the resurfacing of relatively wide and thin defects. This technique has all of the advantages of the conventional rectus abdominis myocutaneous flap with decreased possibility of postoperative abdominal herniation or muscle weakness.
Another challenging merit is possibility of skin flap thinning.
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