✦ LIBER ✦

Microvascular reconstruction of the upper extremity with the rectus abdominis muscle

✍ Scribed by Venkat K. Rao; Andrew Baertsch

Publisher: John Wiley and Sons
Year: 1994
Tongue: English
Weight: 462 KB
Volume: 15
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.1920151015

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✦ Synopsis

Abstract

Large soft‐tissue defects of the upper extremity are difficult to reconstruct. Defects in 21 patients (15–75 years old) were treated by free tissue transfer of the rectus abdominis muscle. The defects were the result of trauma or resection of tumor and measured more than 15 × 15 cm. The muscle was transferred on the inferior epigastric pedicle and covered with a skin graft within 48 hours. All transfers were successful, and early soft‐tissue healing occurred. This procedure offers the advantages of easy positioning, large donor vessels, and a highly vascular soft tissue reconstruction. The long‐term functional and cosmetic results have been excellent. © 1994 Wiley‐Liss, Inc.

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