Aviles Velastegui J, Dominici C, Cordellini M, Lepri P, Borgognoni F, Bovani B, Murgolo V
Cattedra di Chirurgia Plastica e Ricostruttiva, Università degli Studi di Perugia.
Minerva Chir. 1991 May 31;46(10):533-7.
The paper reports the Author's experience of the use of the muscle-skin flap of the upper rectum homolateral to the abdomen in the reconstruction of defects of the anterior thoracic wall following cancer surgery or radionecrosis, and compares it to that using other flaps (lower T.R.A.M., Latissimus dorsi, etc.). The well known anatomy of the flap, which is fed by the upper epigastric artery, also requires a precise surgical technique to isolate the muscular fibres without damaging vascularisation, a fundamental requisite for the vitality of the flap itself. Equally important for the vitality of the operation is a detailed study of the skin above the flap in patients treated with radiotherapy. The common and specific (epigastric hernia) complications of this operation are also examined, together with the precautions used by the Authors to prevent their occurrence.
本文报道了作者使用腹部同侧上直肠肌皮瓣修复癌症手术或放射性坏死术后前胸壁缺损的经验，并将其与使用其他皮瓣（下腹部横行腹直肌肌皮瓣、背阔肌皮瓣等）的经验进行了比较。该皮瓣由腹壁上动脉供血，其众所周知的解剖结构也需要精确的手术技术来分离肌纤维而不损伤血管，这是皮瓣自身存活的基本条件。对于接受放疗患者皮瓣上方皮肤的详细研究对手术的成功同样重要。本文还探讨了该手术常见和特殊的（腹壁疝）并发症，以及作者为预防这些并发症的发生所采取的预防措施。
