Clinical cases of deep inferior epigastric artery free skin flap.
- Author:
Jeong Jae LEE
1
;
Young Chun YOO
;
Seog Keun YOO
Author Information
1. Department of Plastic & Reconstructive Surgery, College of Medicine, Wonkwang University, Iksan, Korea.
- Publication Type:Original Article
- Keywords:
Deep inferior epigastric artery free skin flap
- MeSH:
Adipose Tissue;
Epigastric Arteries*;
Fascia;
Free Tissue Flaps;
Hernia, Abdominal;
Humans;
Myocutaneous Flap;
Rectus Abdominis;
Skin*;
Surgical Flaps
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
1998;25(3):464-472
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Since the use of the rectus abdominis myocutaneous flap was first reported by Mathes and Bostwick in 1977, its clinical utility both as an pedicled flap and a free flap has broadened reconstructive surgery. But there is a risk of postoperative abdominal hernia formation and bulkiness due to the volume of the rectus muscle and subcutaneous fatty tissue, it is pointed out as a disadvantage in the recipient site where a thin flap is required. To overcome these problems, Koshima (1989), and Itoth (1993) described the modification of this flap which contained little or no muscle or fascia. In our department , we performed deep inferior epigastric artery free skin flap in soft tissue reconstruction in three patients: we dissected one or two muscle perforator from the rectus muscle, removed the deep fatty layer, so we could elevate a thin flap. The results were good, so we are willing to describe the operative technique and its usefulness.
