دورية أكاديمية
Innervated vastus lateralis muscle: complementing and completing the anterolateral thigh flap for abdominal wall reconstruction.
| العنوان: | Innervated vastus lateralis muscle: complementing and completing the anterolateral thigh flap for abdominal wall reconstruction. |
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| المؤلفون: | Dixit PK; Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India., Karmakar S; Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India drshilpikarmakar@rediffmail.com., Singla P; Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India. |
| المصدر: | BMJ case reports [BMJ Case Rep] 2024 May 20; Vol. 17 (5). Date of Electronic Publication: 2024 May 20. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BMJ Pub. Group |
| مواضيع طبية MeSH: | Abdominal Wall*/surgery , Abdominal Wall*/innervation , Quadriceps Muscle*/innervation , Plastic Surgery Procedures*/methods, Humans ; Female ; Adult ; Surgical Flaps ; Thigh/innervation ; Thigh/surgery ; Adenocarcinoma/surgery ; Abdominal Neoplasms/surgery |
| مستخلص: | Reconstruction of composite abdominal wall defects is challenging. An anterolateral thigh (ALT) flap has established itself in the algorithm for abdominal wall reconstruction. Augmenting innervated vastus lateralis (iVL) muscle to ALT has added advantages. We describe previously unreported advantage of ALT with iVL.A woman in her 30s, suffering from Mullerian adenocarcinoma with metastasis to the right anterior abdominal wall and right inguinal lymph node, was taken for wide local excision and reconstruction. After excision, there was a 15×12 cm defect of the anterior abdominal wall. We reconstructed the defect with prosthetic mesh and pedicled composite ALT and iVL. There was venous congestion in the ALT flap and it could not be salvaged. We debrided the ALT flap and applied split skin graft over iVL. The grafted and donor sites healed well. The patient was able to do moderate strenuous activities. The presence of iVL allowed us to get away with minor procedure and averted the need for another flap. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.) |
| فهرسة مساهمة: | Keywords: General surgery; Plastic and reconstructive surgery; Surgical oncology |
| تواريخ الأحداث: | Date Created: 20240520 Date Completed: 20240520 Latest Revision: 20240710 |
| رمز التحديث: | 20240710 |
| DOI: | 10.1136/bcr-2023-258080 |
| PMID: | 38769023 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1757-790X |
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| DOI: | 10.1136/bcr-2023-258080 |