1997
DOI: 10.1007/bf01152185
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Donor site morbidity after rectus abdominis muscle flaps

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Cited by 10 publications
(5 citation statements)
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“…The epidermis at the forearm is thinner than the epidermis at the thigh, which may match better the skin in the face, and the harvest of a suprafascial radial forearm flap takes between 30À40 min, whereas a superthin anterolateral thigh perforator flap takes approximately 90 min and more. The vertical myocutaneous rectus abdominis flap includes the risk of donor-site complications such as abdominal weakness, bulge, or hernia formation, 34 and a prolonged postoperative donor-site treatment regimen. In this series, the anterolateral thigh flap successfully replaced this flap.…”
Section: Discussionmentioning
confidence: 99%
“…The epidermis at the forearm is thinner than the epidermis at the thigh, which may match better the skin in the face, and the harvest of a suprafascial radial forearm flap takes between 30À40 min, whereas a superthin anterolateral thigh perforator flap takes approximately 90 min and more. The vertical myocutaneous rectus abdominis flap includes the risk of donor-site complications such as abdominal weakness, bulge, or hernia formation, 34 and a prolonged postoperative donor-site treatment regimen. In this series, the anterolateral thigh flap successfully replaced this flap.…”
Section: Discussionmentioning
confidence: 99%
“…Most data refer to TRAM flaps and report herniation in 0-40% [2,24,29,38,40]. In VRAM flap patients, herniation or abdominal wall fascia dehiscence was reported in 9% [27], 12% [43] and 17% [6].…”
Section: Herniationmentioning
confidence: 98%
“…Additionally, with up to 90% of perineal resection in ELAPE being performed in the prone position [14], there is an additional requirement to turn the patient intraoperatively (60% of units preferring VRAM turned patients intraoperatively in our study). Other significant limitations of the VRAM flap include the risk of partial/total flap necrosis [12], significant donor site morbidity [25], and disruption of potential future stoma sites [24], the latter being an important consideration in younger patients who have a higher likelihood of developing parastomal hernia and need for stoma re-siting [26]. The use of the VRAM flap is limited in high body mass index patients, where flap raise and inset can be challenging due to the significant soft-tissue bulk.…”
Section: Discussionmentioning
confidence: 99%