Repair of Surgical Abdominal Wall Defect With a Pedicled Musculofascial Flap

Lesnick, Gerson; Davids, Arthur M.

doi:10.1097/00000658-195304000-00024

Cited by 24 publications

(4 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such a prosthesis would be (1) chemically inert, (2) noncarcinogenic, (3) resistant to mechanical strain, (4) sterilizable, (5) unmodified by tissue fluids, (6) hypoallergenic, (7) noninflammatory, (8) con¬ formable to different shapes, and (9) nonrigid.9 A host of materials have been tested, including Dacron-reinforced silicon rubber (Silastic),9,10 preserved human dura,10 nylon woven mesh,9 polyester fiber mesh (Mersilene),11 braided carbon fiber," stainless-steel mesh,9 polytetrafluoroethyl¬ ene (Goretex),10,12 and polypropylene mesh (Marlex). 10,12,13 Probably because of its strength and low reactivity, poly¬ propylene mesh has emerged as the prosthetic agent of choice in repairing both clean and contaminated abdominalwall defects.…”

Section: Commentmentioning

confidence: 99%

Use of an Absorbable Mesh to Repair Contaminated Abdominal-Wall Defects

Dayton¹

1986

Arch Surg

166

View full text Add to dashboard Cite

Section: Commentmentioning

confidence: 99%

Use of an Absorbable Mesh to Repair Contaminated Abdominal-Wall Defects

Dayton¹

1986

Arch Surg

166

View full text Add to dashboard Cite

“…Lesnick and Davids first used the EOMCF for closure of lower abdominal wall defects in 1952 . Since its introduction, the EOMCF has been used successfully for coverage of upper abdominal, pelvic, and chest‐wall defects, including those caused by advanced breast cancer .…”

Section: Discussionmentioning

confidence: 99%

Immediate chest wall reconstruction using an external oblique myocutaneous flap for large skin defects after mastectomy in advanced or recurrent breast cancer patients: A single center experience

Lee

Jung

Bae

2017

Journal of Surgical Oncology

View full text Add to dashboard Cite

Background and Objectives:We report 75 single-stage chest-wall reconstructions using ipsilateral external oblique myocutaneous flap (EOMCF) to cover the extensive skin defects following resection of advanced or recurrent breast tumours at the Pusan , 75 women with advanced or recurred breast cancer who underwent extensive mastectomy with immediate chest wall reconstruction using EOMCF were reviewed retrospectively.Results: Mean age was 50.5 ± 9.8 years and mean follow-up period was 36.7 ± 25.1 months. A total of 59 patients (78.7%) had stage III disease and the remaining 16 patients (21.3%) had stage IV. Mean excised breast tissue weight was 687.6 ± 416.5 g (range, 120.3-2797.1 g). The mean chest wall skin defect covered with an EOMCF was 228.3 ± 168.1 cm 2 and corresponded to an approximately 15 × 15 cm defect. Average operative time for reconstruction was <2 h. There were no major complications such as flap loss, full thickness skin necrosis, or surgical site infections. With respect to loco-regional recurrence, nine patients (12%) experienced recurrence. Among the 59 non-stage IV patients, loco-regional relapse occurred in five patients (8.5%).Conclusions: EOMCF can effectively cover large chest wall defects with a few minor complications and reliable local disease control. K E Y W O R D Sadvanced or recurrent breast tumours, extensive skin defects, external oblique myocutaneous flap

show abstract

“…Although initially described as a myofascial flap for abdominal reconstruction, the external oblique flap subsequently has been more commonly used as a myocutaneous flap for repair of the chest wall. 47 The external oblique flap territory is large, extending from the midline of the abdomen to the anterior axillary line. The flap is elevated medially and rotated superiorly into the defect.…”

Section: External Oblique Flapsmentioning

confidence: 99%

Chest Wall Reconstruction and Advanced Disease

Beahm

Chang

2004

Seminars in Plastic Surgery

View full text Add to dashboard Cite

Clinical experience supports a role for palliative procedures in patients with locally advanced or recurrent breast cancer, yet numerous challenges are entailed in both the extirpation and reconstruction of the chest wall in these cases. The defects may be profound and complicated by prior surgery, radiation therapy, or patient-related variables. The reconstructive techniques employed must neither encumber nor delay any necessary postoperative therapy and must not result in unacceptable morbidity or compromise quality of life. Our surgical approach to these cases incorporates a team of specialists from a broad spectrum of medical and surgical disciplines. Each operative plan is tailored to the specific needs and requirements of the individual patient.

show abstract

Repair of Surgical Abdominal Wall Defect With a Pedicled Musculofascial Flap

Cited by 24 publications

References 2 publications

Use of an Absorbable Mesh to Repair Contaminated Abdominal-Wall Defects

Use of an Absorbable Mesh to Repair Contaminated Abdominal-Wall Defects

Immediate chest wall reconstruction using an external oblique myocutaneous flap for large skin defects after mastectomy in advanced or recurrent breast cancer patients: A single center experience

Chest Wall Reconstruction and Advanced Disease

Contact Info

Product

Resources

About