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

	[Plastic Surgery]

MATERIAL & METHODS

The defect, extending from ribs to costal bone under which peritoneum is exposed, is oblitered with homolateral latissimus dorsi microvascularized flap After this, the patient comes up with another recurrence and surgery now leaves a full thickness abdominal wall defect. We employed a PTFE mesh as a support under contralateral latissimus dorsi free flap. The flap failed.

At this time, over PTFE mesh is employed a large pedicled omental flap based on the left gastroepiploic artery ( the larger and more pulsatile right gastroepiploic artery was discarded for previous colecistectomy) and covered with split-thickness meshed grafts.

Figure 1: Full thickness abdominal wall defect extending from 7th rib to iliac bone and crossing midline. PTFE mesh over peritoneum exposed. Harvesting of omental flap for reconstruction.

Figure 2: The pedicle of the flap exits the abdomen through a small hole in PTFE mesh.⁽¹⁾,⁽²⁾.

Figure 3: Pivot point through abdominal wall opening. This is the only potential weakness point.

Figure 4: Flap over PTFE mesh. It´s a large and highly vascularized flap to accept split thickness meshed grafts.

Discussion Board

Any Comment to this presentation?

[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
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Last update: 15/01/00