Onishi K, Maruyama Y, Yataka M
Department of Plastic and Reconstructive Surgery, Toho University Hospital, Tokyo, Japan.
Br J Plast Surg. 1997 Jan;50(1):58-60. doi: 10.1016/s0007-1226(97)91284-4.
Endoscopic harvest of the tensor fasciae latae muscle flap is presented. Two cases of abdominal wall hernia were treated with reinforcement of the abdominal wall using endoscopically harvested, pedicled tensor fasciae latae muscle flaps. The scars of the thigh after flap harvest were much shorter than the scar of the conventional open technique and the results were satisfactory. As the tensor fasciae latae muscle is easily undermined, we think it is appropriate to harvest the flap using an endoscope. Fascial grafts can also be harvested in the same manner as the pedicled flap.
介绍了内镜下获取阔筋膜张肌肌瓣的方法。两例腹壁疝患者采用内镜获取的带蒂阔筋膜张肌肌瓣加强腹壁进行治疗。获取肌瓣后大腿部的瘢痕比传统开放技术的瘢痕短得多，效果满意。由于阔筋膜张肌易于分离，我们认为使用内镜获取肌瓣是合适的。筋膜移植物也可以与带蒂肌瓣相同的方式获取。
