Scrotal reconstruction with a rectus abdominis muscle flap

Young, William; Wright, James K.

doi:10.1016/0007-1226(88)90051-3

Cited by 28 publications

(20 citation statements)

References 6 publications

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“…Previously used myocutaneous flaps include the gracilis myocutaneous flap, 5 the adductor minimus myocutaneous flap, 6 and the rectus abdominis myocutaneous flap. 7 Fasciocutaneous flaps include the medial thigh fasciocutaneous flap 8 and the anterolateral thigh fasciocutaneous island flap. 9 However, all of these lack pliability and the thickness of these flaps can increase the temperature around the testes, thereby affecting spermatogenesis.…”

Section: Discussionmentioning

confidence: 99%

Scrotal reconstruction with a free greater omental flap: A case report

Tang

Kadirkamanathan

et al. 2010

Microsurgery

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We report a case of Fournier's gangrene, where we used the greater omentum as a free flap for scrotal reconstruction and outline the advantages over previously described methods. The greater omentum was harvested using a standard open technique. The deep inferior epigastric vessels were passed through the inguinal canal into the scrotal area as recipient vessels. The detached greater omental flap was prefabricated into a three-dimensional sac prior to inset and microvascular anastomoses. The flap was then covered by skin graft. The reconstruction had shown good early results with complete survival of the flap, as well as good functional and esthetic outcome at six months. The greater omentum can therefore be used as a free flap for scrotal reconstruction. It allows easy prefabrication and flap inset. The deep inferior epigastric vessels are also suitable recipient vessels.

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Section: Discussionmentioning

confidence: 99%

Scrotal reconstruction with a free greater omental flap: A case report

Tang

Kadirkamanathan

et al. 2010

Microsurgery

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“…Free skin grafting is not recommended because the resulting change in thermal regulation is apt to interfere with testicular function [3,10,14]. Leaving local scrotal skin flaps produces recurrent disease.…”

Section: Discussionmentioning

confidence: 99%

“…Implantation of the testicles into subcutaneous pouches in the thighs was also described but requires a two stage operation [7,9]. All o f these give p o o r results both from the functional and the esthetic point o f view [11,14].…”

Section: Discussionmentioning

confidence: 99%

Total scrotal reconstruction with vertical rectus abdominis musculocutaneous (VRAM) flap in the treatment of penoscrotal lymphedema

et al. 1992

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A 37-year-old man with scrotal and penile lymphedema was treated by total excision of the scrotal and penile skin and subcutaneous tissue. Split thickness skin grafts were used to cover the penis and the pubic area. An inferiorly based left rectus abdominis muscle with a 12 x 16 cm skin island from the epigastric region was used to reconstruct the scrotum. The VRAM flap is a simple, reliable flap and it provides sufficient coverage of the exposed testicles after total excision of diseased scrotal skin. It also gives a satisfactory esthetic result. The VRAM flap may be another source for reconstruction of the total scrotum.

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“…It compresses the abdomen, supports the viscera (intestine), and is very important in weight lifting and other sports. The muscle, as a myocutaneous flap, has been used in numerous surgical reconstructions: in the reconstruction of scrotum [16]; reconstruction of the breast [17,18]; closure of sternal defects [19]; in head and neck reconstructive surgery [20]; in the treatment of enterocutaneous fistula [21]; in the correction of pharyngoesophageal defects [22]; in soft tissue reconstruction of the hand [23]; in treatment of complex urethrovaginal fistulae [24,25]; in the reconstruction of full-thickness thoracic wall defects [26], and in the reconstruction of ankle and foot defects [27]. It is therefore obvious that detailed assessment of the thickness of the rectus abdominis muscleis very important, given its background in these myocutaneous reconstructive procedures.…”

Section: Introductionmentioning

confidence: 99%

Imaging-based assessment of rectus abdominis muscle thickness in an adult population: evaluating possible anthropometric relationships

Egwu¹,

Ukoha²,

Asomugha³

et al. 2014

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Introduction: Very little attention has been paid to muscle architecture in the Sub-Saharan African environment, and the rectus abdominis muscle, being a stabilising agent in the trunk, should not be left out. Considering the incidence of trunk musculoskeletal discomfort, it is necessary to assess the rectus abdominis muscle. Aim of the research: To assess the thickness of the rectus abdominis muscle in an apparently healthy adult population using ultrasound and to evaluate its possible relationship with important anthropometric variables. Material and methods: A total of 120 healthy subjects made up of 60 males and 60 females, who gave their written consent, were recruited for this study. B-mode ultrasound was used to assess the rectus abdominis muscle. Anthropometric variables were also assessed. Results:The results show that the rectus abdominis thickness (RAT) was 14.68 ±2.92 mm and 14.37 ±2.74 mm for the right (RRAT) and left (LRAT) sides, respectively. The males had significantly thicker muscles than the females (p = 0.004) and the RAT correlated positively with age, weight, height, body mass index, body surface area, waist circumference, and conicity index. Conclusions: These results show robust myoanthropometric relationships that will assist surgeons in reconstructive procedures involving the muscle. They will also serve as a guidepost in the biomechanical assessment of the muscle in lifting sports for an African population, in the study of muscle flaps, and in the general evaluation of trunk mass.

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Scrotal reconstruction with a rectus abdominis muscle flap

Cited by 28 publications

References 6 publications

Scrotal reconstruction with a free greater omental flap: A case report

Scrotal reconstruction with a free greater omental flap: A case report

Total scrotal reconstruction with vertical rectus abdominis musculocutaneous (VRAM) flap in the treatment of penoscrotal lymphedema

Imaging-based assessment of rectus abdominis muscle thickness in an adult population: evaluating possible anthropometric relationships

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