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Abdominal Wall Reconstruction with Vascularised Autologous Tissue

2003; SAGE Publishing; Volume: 92; Issue: 4 Linguagem: Inglês

10.1177/145749690309200410

1799-7267

Hans Nettelblad, Erkki Tarpila,

Abdominal Surgery and Complications

The abdominal wall stability depends on the action of a complex “sandwich” of muscles and fasciae. In order for a reconstruction to be successful, it should be able to ascertain this musculo-fascial stability in the reconstructed area, otherwise hernia formation or general wall weakness will occur. Preferably, stability should be an inherent capability of the transferred tissues themselves, thus avoiding the increased complication risk of an added synthetic material. This demand reduces the number of flaps available for use, especially as immediate stability is desirable. However, this potential does exist in the pedicled and free tensor fascia lata flap (TFL flap) and in the rectus femoris flap. Both flaps have, when properly dissected and transferred, sufficient blood perfusion to carry the desired resistance to infection. By the examples below, the potential of these flaps in clinical situations is illustrated.