Effect of using the abdominal plastic technique for reconstruction of lower abdomen defect
10.3760/cma.j.cn114453-20200308-00129
- VernacularTitle:腹壁整形技术在下腹壁肿瘤切除后大面积皮肤缺损修复中的应用
- Author:
Lingyun XIONG
1
;
Nengqiang GUO
;
Liang GUO
;
Peng XIAO
;
Jie YANG
;
Xiaoling FENG
;
Wei XIONG
;
Jiaming SUN
Author Information
1. 华中科技大学附属协和医院整形外科，武汉 430022
- Keywords:
Abdominoplasty;
Abdominal wound closure techniques;
Soft tissue neoplasms;
Defect reconstruction
- From:
Chinese Journal of Plastic Surgery
2020;36(4):429-433
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To report the effect of the abdominal plastic technique for reconstruction of lower abdomen defect.Methods:22 patients with defect in lower abdomen were treated with radical resection and abdominal plastic technique from 2017. 3. to 2019.3. There were 10 males and 12 females, age 45-62years, skin lesions ranged from 7 cm ×10 cm to 25 cm× 29 cm. In cases with lower wound tension, the defect was directly closed with abdominal plastic technique . In cases with high wound tension and absolute insufficient abdominal skin, pedicled anterolateral thigh (ALT)flap and abdominal plastic technique were performed. In cases with high wound tension and relatively insufficient abdominal skin, pedicled deep inferior epigastric artery perforator (DIEP) flap and abdominal plastic technique were performed. Follow-up was performed every 3 months postoperatively to observe local recurrent and lymphatic metastasis.Results:4 cases were treated with abdominal plastic technique, 10 cases received ALT flap transfer and abdominal plastic technique, 8 cases received DIEP flap transfer and abdominal plastic technique. Follow-up was carried out 1-12 months, no total failure of flap was observed. No donor-site complication was observed. The contour and function of reconstructed abdomen was satisfactory.Conclusions:The abdominal plastic technique for reconstruction of skin defect in lower abdomen is reliable. It features low donor-site morbidity, high reconstructive efficiency and reliable perfusion.
