Flap reconstruction of the abdominal wall

• 作 者: Sneha Patel Alexander F. Mericli Sahil K. Kapur Margaret S. Roubaud Charles E. Butler
• 机 构: Department of Plastic Surgery,The University of Texas M.D. Anderson Cancer Center,Houston,TX 77030,U
• 出 处: 整形与美容研究（英文版）
• 发表日期: 2020年4期
• 关键词: Abdominal wall reconstruction surgical flaps pedicled flap free flap bioprosthet

Large abdominal cutaneous defects may occur in association with complex ventral hias, 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.