Free Versus Pedicled Anterolateral Thigh Flap for Abdominal Wall Reconstruction.

Details

Serval ID
serval:BIB_402D0FB28858
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Free Versus Pedicled Anterolateral Thigh Flap for Abdominal Wall Reconstruction.
Journal
Anticancer research
Author(s)
DI Summa P.G., Watfa W., Campisi C., Giordano S., Oranges C.M., Elahi-Rausis L., Bauquis O., Hahnloser D., Demartines N., Raffoul W.
ISSN
1791-7530 (Electronic)
ISSN-L
0250-7005
Publication state
Published
Issued date
12/2019
Peer-reviewed
Oui
Volume
39
Number
12
Pages
6759-6768
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Large full thickness abdominal wall defects following malignancies can be a reconstructive challenge. The purpose of this study was to analyze long-term outcomes and complications following abdominal wall reconstruction using composite antero-lateral thigh (ALT) flaps.
The study retrospectively investigated 16 consecutive patients who underwent abdominal wall reconstruction with autologous flap between May 2003 and March 2018. Volumetric flap analysis was used to assess flap atrophy over time, evaluating the role of denervation and reinnervation. The long-term outcome was assessed to compare the two groups (free vs. pedicled ALT flap reconstructions).
All flaps successfully covered the defects. We found a significant increase in flap resorption in free flaps when compared to pedicled ones. Abdominal bulging was seen in 3 out of 16 (19%) patients after more than 12 months follow-up, in close correlation with mesh absence.
Free flaps were shown to be equally effective as their pedicled counterparts, without significant increase in complication rate.
Keywords
Abdominal wall reconstruction, abdominal wall stability, composite anterolateral thigh flap, vascularized fascia lata
Pubmed
Open Access
Yes
Create date
15/12/2019 18:30
Last modification date
21/01/2020 7:26
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