Reconstruction of Extensive Diaphragmatic Defects Using the Rectus Abdominis Muscle and Fascial Flap
Diaphragmatic reconstruction is required for extensive diaphragmatic defects associated with tumor resection. Methods using artificial mesh and autologous tissues, such as pedicled flaps, have been reported predominantly for diaphragmatic reconstruction. We present the case of a 61-year-old woman wh...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2023-03-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1938-0763 |
| _version_ | 1797858230951477248 |
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| author | Shumpei Kato Hisashi Sakuma Takako Fujii Ichiro Tanaka Junichi Matsui |
| author_facet | Shumpei Kato Hisashi Sakuma Takako Fujii Ichiro Tanaka Junichi Matsui |
| author_sort | Shumpei Kato |
| collection | DOAJ |
| description | Diaphragmatic reconstruction is required for extensive diaphragmatic defects associated with tumor resection. Methods using artificial mesh and autologous tissues, such as pedicled flaps, have been reported predominantly for diaphragmatic reconstruction. We present the case of a 61-year-old woman who presented with a 14 × 13 × 12 cm tumor in the abdominal cavity of the upper left abdomen on computed tomography. The diaphragm defect measuring 12 × 7 cm that occurred during excision of the malignant tumor was reconstructed using the rectus abdominis muscle and fascial flap. The flap has vertical and horizontal vascular axes; therefore, blood flow is stable. It also has the advantage of increasing the range of motion and reducing twisting of the vascular pedicles. Fascial flap does not require processing such as thinning and can be used during suture fixation. This procedure, which has rarely been reported so far, has many advantages and may be a useful option for diaphragm reconstruction. |
| first_indexed | 2024-04-09T21:09:57Z |
| format | Article |
| id | doaj.art-a1de3099a2394704a342494d69b9a621 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-09T21:09:57Z |
| publishDate | 2023-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-a1de3099a2394704a342494d69b9a6212023-03-28T23:45:00ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712023-03-01500216617010.1055/a-1938-0763Reconstruction of Extensive Diaphragmatic Defects Using the Rectus Abdominis Muscle and Fascial FlapShumpei Kato0Hisashi Sakuma1Takako Fujii2Ichiro Tanaka3Junichi Matsui4Department of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Chiba, JapanDepartment of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Chiba, JapanDepartment of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Chiba, JapanDepartment of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Chiba, JapanDepartment of Surgery, Ichikawa General Hospital, Tokyo Dental College, Chiba, JapanDiaphragmatic reconstruction is required for extensive diaphragmatic defects associated with tumor resection. Methods using artificial mesh and autologous tissues, such as pedicled flaps, have been reported predominantly for diaphragmatic reconstruction. We present the case of a 61-year-old woman who presented with a 14 × 13 × 12 cm tumor in the abdominal cavity of the upper left abdomen on computed tomography. The diaphragm defect measuring 12 × 7 cm that occurred during excision of the malignant tumor was reconstructed using the rectus abdominis muscle and fascial flap. The flap has vertical and horizontal vascular axes; therefore, blood flow is stable. It also has the advantage of increasing the range of motion and reducing twisting of the vascular pedicles. Fascial flap does not require processing such as thinning and can be used during suture fixation. This procedure, which has rarely been reported so far, has many advantages and may be a useful option for diaphragm reconstruction.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1938-0763diaphragmrectus abdominis musclefascial flapreconstructioncase report |
| spellingShingle | Shumpei Kato Hisashi Sakuma Takako Fujii Ichiro Tanaka Junichi Matsui Reconstruction of Extensive Diaphragmatic Defects Using the Rectus Abdominis Muscle and Fascial Flap Archives of Plastic Surgery diaphragm rectus abdominis muscle fascial flap reconstruction case report |
| title | Reconstruction of Extensive Diaphragmatic Defects Using the Rectus Abdominis Muscle and Fascial Flap |
| title_full | Reconstruction of Extensive Diaphragmatic Defects Using the Rectus Abdominis Muscle and Fascial Flap |
| title_fullStr | Reconstruction of Extensive Diaphragmatic Defects Using the Rectus Abdominis Muscle and Fascial Flap |
| title_full_unstemmed | Reconstruction of Extensive Diaphragmatic Defects Using the Rectus Abdominis Muscle and Fascial Flap |
| title_short | Reconstruction of Extensive Diaphragmatic Defects Using the Rectus Abdominis Muscle and Fascial Flap |
| title_sort | reconstruction of extensive diaphragmatic defects using the rectus abdominis muscle and fascial flap |
| topic | diaphragm rectus abdominis muscle fascial flap reconstruction case report |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1938-0763 |
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