Upper Transverse Rectus Abdominis Flap: The Flag Flap

Plaza, Roberto de la; Arroyo, J. M.; Vásconez, Luis O.

doi:10.1097/00000637-198405000-00002

Cited by 27 publications

(9 citation statements)

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“…The defect created in the anterior rectus sheath during flap elevation may occasionally require closure with prosthetic materials or autologous tissue. Routine closure of the defect with Marlex or dermal grafts has been reported [1]; however, leaving an adequate margin of rectus sheath at each edge usually allows closure under minimal tension. A low incidence of infection is associated with such materials [1].…”

Section: Discussionmentioning

confidence: 99%

“…Routine closure of the defect with Marlex or dermal grafts has been reported [1]; however, leaving an adequate margin of rectus sheath at each edge usually allows closure under minimal tension. A low incidence of infection is associated with such materials [1]. The reported incidence of postoperative hernias is acceptably low with rectus abdominis muscle flaps, and hernias did not occur in our series of patients.…”

Section: Discussionmentioning

confidence: 99%

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Invited commentary

Plaza¹

1990

Eur J Plast Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Invited commentary

Plaza¹

1990

Eur J Plast Surg

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“…11 De la Plaza and colleagues 11 described a skin island, extending from the linea alba to the anterior axillary line. They based this flap on the ipsilateral rectus muscle fed by the deep inferior epigastric vessels.…”

Section: Annals Of Plastic Surgerymentioning

confidence: 99%

Reconstruction of an Extensive Thigh Defect With the Paraumbilical TRAM Flap

Senchenkov

Thomford²,

Barone³

2003

Annals of Plastic Surgery

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Reconstruction of extensive defects after radical resection of soft-tissue sarcomas of the extremities has become an essential part of the limb salvage approach to the management of these tumors. The authors describe the successful use of a paraumbilical transverse rectus abdominis musculocutaneous flap with the pedicle based on the inferior epigastric artery for reconstruction of a 24- x 22-cm soft-tissue and skin defect of the anterior thigh after wide local excision of a recurrent malignant fibrous histiocytoma. The ability to mobilize a large amount of well-vascularized soft tissue from an acceptable donor site, the versatility of flap design, the extensive arc of rotation, and the dependability of the inferior epigastric vascular pedicle are all distinct advantages of using this flap in the reconstruction of massive defects of the thigh.

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“…The inferior epigastric vessels, which are typically two to three times the size of the superior epigastric vessels, can supply the entire length of the rectus muscle without difficulty [1]. For a superiorly based flap, the muscle may be taken all the way down to its attachment to the pubis if needed, and this entire length of muscle will survive on the blood flow from the superior epigastric vessels (Fig.…”

Section: Techniquementioning

confidence: 99%

“…7 with superiorly based contralateral rectus musculocutaneous flap reliably located paraumbilically and at the costal margin, large horizontal skin paddles are best created at these sites. As described by De la Plaza et al, a thoracoepigastric flap of skin reaching the ipsilateral anterior axillary line can be carried by an inferiorly based musculocutaneous rectus flap [1]. All or a portion of the cutaneous territory of a transverse rectus abdominis musculocutaneous flap can be carried by a superiorly based musculocutaneous rectus flap.…”

Section: Techniquementioning

confidence: 99%

Reconstruction of large soft tissue defects of the lower torso with rectus abdominis musculocutaneous flaps

Franzo

Nesmith

1990

Eur J Plast Surg

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European ]r~l.,~e Journal of buttery Summary. Seven large defects of the lower torso were closed with rectus abdominis musculocutaneous flaps: two large groin defects, three abdominal wall defects, and two open lateral pelvic wounds. Five of the flaps were inferiorly based and two superiorly based. The donor site was closed primarily unless a large skin paddle was taken, in which case the donor site was skin grafted. The central location, excellent blood supply (superior and inferior epigastric arteries plus abundant cutaneous perforators), and length and thickness of the rectus abdominis muscle make it a versatile flap for abdominal wall and lower torso defects.

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Upper Transverse Rectus Abdominis Flap: The Flag Flap

Cited by 27 publications

References 0 publications

Invited commentary

Invited commentary

Reconstruction of an Extensive Thigh Defect With the Paraumbilical TRAM Flap

Reconstruction of large soft tissue defects of the lower torso with rectus abdominis musculocutaneous flaps

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