Clinical efficacy of anterolateral thigh chimeric perforator flap combined with artificial materials for repairing huge defects following abdominal wall tumor resection
10.7659/j.issn.1005-6947.240545
- VernacularTitle:股前外侧嵌合穿支皮瓣联合人工材料修复腹壁肿瘤切除术后巨大缺损的临床效果
- Author:
Lu CHEN
1
;
Xiaoyue HONG
;
Baiqi LIU
;
Rong GUO
;
Juyu TANG
;
Panfeng WU
;
Gengwen HUANG
Author Information
1. 中南大学湘雅医院 疝和腹壁外科中心,湖南 长沙 410008;中南大学湘雅医院 普通外科,湖南 长沙 410008;中南大学湘雅医院 国家老年疾病临床医学研究中心,湖南 长沙 410008
- Publication Type:Journal Article
- Keywords:
Reconstructive Surgical Procedures;
Abdominal Wall;
Perforator Flap;
Surgical Mesh
- From:
Chinese Journal of General Surgery
2025;34(2):338-345
- CountryChina
- Language:Chinese
-
Abstract:
Background and Aims:Reconstructing huge abdominal wall defects after abdominal wall tumor resection is a significant challenge for surgeons.Here,we summarize the experience of our team in repairing these defects using an anterolateral thigh chimeric perforator flap combined with artificial materials,within a multidisciplinary collaborative framework,aiming to provide a reference for other practitioners.Methods:The clinicopathologic data of 7 patients who underwent primary reconstruction of large abdominal wall defects after malignant tumor resection,using an anterolateral thigh chimeric perforator flap combined with artificial materials,at Xiangya Hospital,Central South University,between October 2019 and April 2024,were retrospectively analyzed.The clinical outcomes were evaluated.Results:All 7 patients successfully underwent both tumor resection and primary abdominal wall reconstruction without surgery-related mortality.The wound in all patients healed in one stage,with no severe complications such as surgical site infections or flap necrosis.During a follow-up period of 6 to 54 months,2 patients experienced tumor recurrence,one of whom died(exact cause unknown),while the other continued anti-tumor treatment.The remaining 5 patients were alive without recurrence.One patient developed abdominal wall bulging,but no obvious incisional hernia occurred in any of the patients.Conclusion:The use of an anterolateral thigh chimeric perforator flap combined with artificial materials for repairing large abdominal wall defects after abdominal tumor resection can achieve satisfactory therapeutic outcomes.This approach is a feasible and safe method for abdominal wall reconstruction.
