Fujii Maki, Okochi Masayuki, Komuro Yuzo
Department of Plastic and Reconstructive Surgery, Teikyo University, Tokyo, Japan.
J Plast Reconstr Surg. 2023 Mar 15;2(4):137-141. doi: 10.53045/jprs.2022-0034. eCollection 2023 Oct 27.
The reconstruction of soft tissue defects in the peritoneal region after malignant tumor resection is challenging. To reconstruct large defects, primary closure or local flaps are inadequate, and they do not provide cosmetically and functionally good results. The gracilis, gluteal, and rectus abdominis flaps are workhorse flaps for reconstructing large peritoneal defects. Surgical procedures should be carefully chosen on the basis of the size and location of the defect. In this report, we describe two cases of bilateral large defect reconstruction after malignant tumor resection using a V-shaped deep inferior epigastric artery perforator flap. Our procedure is useful as it shows that single flaps can be used to reconstruct large and bilateral peritoneal defects.
恶性肿瘤切除术后腹膜区域软组织缺损的重建具有挑战性。对于重建大的缺损，一期缝合或局部皮瓣是不够的，而且它们不能提供美观和功能良好的效果。股薄肌皮瓣、臀大肌皮瓣和腹直肌皮瓣是重建大的腹膜缺损的常用皮瓣。应根据缺损的大小和位置仔细选择手术方法。在本报告中，我们描述了两例使用V形腹壁下动脉穿支皮瓣重建恶性肿瘤切除术后双侧大缺损的病例。我们的手术方法很有用，因为它表明单个皮瓣可用于重建大的双侧腹膜缺损。
