Meland N B, Fisher J, Irons G B, Wood M B, Cooney W P
Section of Plastic and Reconstructive Surgery, Mayo Clinic.
Plast Reconstr Surg. 1989 Mar;83(3):481-7. doi: 10.1097/00006534-198903000-00014.
Eighty patients receiving rectus abdominis free-tissue transfers are discussed. The operations were performed between July of 1983 and December of 1986. Specifically, the patients were followed in the clinic to determine the extent and degree of donor-site morbidity. Sixty-two flaps were transferred to the lower extremities, 15 to the head and neck, 2 to the arm, and 1 was placed intrathoracically. Osteomyelitis was the most common indication for free-muscle transfer in 33 patients, soft-tissue defects in 26, and facial soft-tissue augmentation in 14 patients. In the 80 rectus abdominis free-muscle transfers, there were 9 local complications. A seroma occurred in 4 patients, wound infection in 3, and an abdominal wall hernia occurred in 1 patient. The success rate for muscle transfer was 93 percent with six flap losses. Because there is a low incidence of donor-site complications, the surgical dissection is relatively easy, and the relative consistency and size of the deep inferior epigastric pedicle are good, the rectus abdominis muscular unit is now one of the most frequently used free-tissue transfers at our institution.
本文讨论了80例接受腹直肌游离组织移植的患者。手术于1983年7月至1986年12月期间进行。具体而言，对患者进行门诊随访，以确定供区并发症的范围和程度。62个皮瓣移植到下肢，15个移植到头颈部，2个移植到手臂，1个移植到胸腔内。骨髓炎是33例患者进行游离肌肉移植的最常见指征，26例为软组织缺损，14例为面部软组织增厚。在80例腹直肌游离肌肉移植中，有9例局部并发症。4例出现血清肿，3例伤口感染，1例发生腹壁疝。肌肉移植成功率为93%，6个皮瓣坏死。由于供区并发症发生率低，手术解剖相对容易，腹壁下深蒂的相对一致性和大小良好，腹直肌肌肉单位现在是我院最常用的游离组织移植之一。
