Endoscope-Assisted Pectoralis Major-Rectus Abdominis Bipedicle Muscle Flap for the Treatment of Poststernotomy Mediastinitis

Abstract

Performing this harvest method under endoscopic assistance has several advantages, such as preventing excess traction of the skin edge to diminish the skin slough. This method could be an effective alternative for harvesting the PM-RA bipedicle muscle flap to reconstruct the lower-third sternal wound.

A comparison study between endoscope‐assisted and the standard approach in the harvesting of the free rectus femoris muscle flap

“…The use of endoscope in surgery is now well established. Its usage in the harvesting of muscle flaps such as the gracillis (Hallock, 1999;Spiegel et al, 1998), latissimus dorsi (Missana & Pomel, 2007), gastrocnemius (Basmacioglu et al, 2002), pectoralis major (Chou et al, 2016;Turkman & Perks, 2005), rectus abdominis (Bass, Karp, Benacsquista, & Kasabian, 1995;Sawaizumi, Onishi, & Maruyama, 1996), and serratus anterior (Erdmann & Koegst, 2014) amongst others has been well described. Recent studies have extended the use of endoscope to endoscope-assisted perforator flap harvest.…”

“…These include a substantial reduction in incision length, no significant increase in the harvesting time, equivalent success rate, equal or fewer complications, and comparable costeffectiveness. Endoscopic harvesting of muscle flaps are well described for gracilis (Hallock, 1999;Spiegel, Lee, Trabulsy, & Coughlin, 1998), latissimus dorsi (Missana & Pomel, 2007), gastrocnemius (Basmacioglu et al, 2002), and pectoralis major (Chou et al, 2016;Turkman & Perks, 2005) amongst others, but so far there has been no description of endoscopic harvesting of the rectus femoris muscle as a free flap. We found that due to the constant anatomical structure of the muscle as well as its cylindrical shape, it is ideal to be harvested with the endoscope.…”

Comparison of perioperative outcomes between endoscope-assisted technique and handheld acoustic Doppler for perforator identification in fasciocutaneous flaps

“…Many studies have clearly described the use of the endoscopic technique to harvest muscle flaps. [1–3] In a case report in 2012, Katsuragi-Tomioka et al [4] was the first to apply the endoscopic technique to assist in harvesting fasciocutaneous flaps. Subsequently, Huang et al [5] demonstrated the feasibility of the endoscope-assisted method in identifying perforators of fasciocutaneous flaps for 9 consecutive patients.…”