Free Versus Pedicled Anterolateral Thigh Flap for Abdominal Wall Reconstruction.

Détails

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Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_402D0FB28858
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Free Versus Pedicled Anterolateral Thigh Flap for Abdominal Wall Reconstruction.
Périodique
Anticancer research
Auteur⸱e⸱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
Statut éditorial
Publié
Date de publication
12/2019
Peer-reviewed
Oui
Volume
39
Numéro
12
Pages
6759-6768
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
Abdominal wall reconstruction, abdominal wall stability, composite anterolateral thigh flap, vascularized fascia lata
Pubmed
Open Access
Oui
Création de la notice
15/12/2019 17:30
Dernière modification de la notice
07/01/2022 7:09
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