Mª Jesús Martínez González⁽¹⁾, Alejandro Nogueira⁽²⁾, Olatz Alcelay⁽³⁾, Francisco Iglesias^{(4)
(1)(2)(3)(4)}Hospital Central de Asturias - OVIEDO. Spain

Contact address:

Mª Jesús Martínez González Hospital Central de Asturias OVIEDO ASTURIAS 33004 Spain mariogonzalez@papps.org

	[Plastic Surgery]

ABSTRACT

Abdominal structures contention after wide oncologic resection demands suitable reconstruction. We present the case of a 40-year-old woman suggering a grade II malignant fibrohistiocytoma in her left abdominal wall, recurrent after several resections, and this time extending a full thickness abdominal wall defect from ribs to iliac bone, under which preitoneum is exposed. We employed a PTFE mesh as support, and over it a large pedicled omental flap based on the left gastroepiploic artery (she was operated of colecistectomuy), covered with meshed split-thickness skin grafts. The pedicle of the plap exits the abdomen through a small hole in PTFE mesh. Healing was unevetful. One year later the patient wears an excellent functional result, with no abdominal wall weakness. Omental flap remains as an usefull tool for abdominal reconstruction, due to its great vascularity, large size and low morbidity, especially when other technique have failed or are insufficient.

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Keywords: OMENTAL FLAP - ABDOMINAL RECONSTRUCTION -

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Discussion Board

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[ABSTRACT] [INTRODUCTION] [MATERIAL & METHODS] [RESULTS] [IMAGES] [IMAGES-2] [DISCUSSION] [CONCLUSIONS] [BIBLIOGRAPHY] [Discussion Board]

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	[Plastic Surgery]

Mª Jesús Martínez González, Alejandro Nogueira, Olatz Alcelay, Francisco Iglesias
Copyright © 1999-2000. All rights reserved.

Last update: 15/01/00