The Use of Dermal Autograft for Fascial Repair of TRAM Flap Donor Sites
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Abstract
Closure of fascia after transverse rectus abdominis musculocutaneous (TRAM) flap has usually been performed with direct closure or synthetic material. The dermal autograft was removed from zone IV of flap was an alternative to reinforce fascial closure. The dermal autograft was used in 34 patients after TRAM harvest for breast, head and neck reconstruction and Prolene mesh was used in 42 other patients for closure of fascial defect. All patients were followed by physical examinations. Average follow-up in the dermal autograft group was 27.3 versus 20.7 months in the second group. In the dermal autograft group, one patient complained of bulging of the anterior abdominal wall; one developed a wound infection. In the second group, one patients experienced true hernia. Dermal autografts are a useful alternative to mesh repair of fascial defects after TRAM flap harvest.
Pennington DG, Pelly AD. The rectus abdominis myocutaneous free flap. Br J Plast Surg 1980;33(2):277-82.
Grotting JC, Urist MM, Maddox WA, Vasconez LO. Conventional TRAM flap versus free microsurgical TRAM flap for immediate breast reconstruction. Plast Reconstr Surg 1989;83(5):828-41; discussion 842-4.
Arnez ZM, Bajec J, Bardsley AF, Scamp T, Webster MH. Experience with 50 free TRAM flap breast reconstructions. Plast Reconstr Surg 1991;87(3):470-8; discussion 479-82.
Pennington DG, Hassall M. The free transverse rectus abdominis myocutaneous flap in breast reconstruction after mastectomy. Aust N Z J Surg 1991;61(6):446-51.
Elliott LF, Eskenazi L, Beegle PH Jr, Podres PE, Drazan L. Immediate TRAM flap breast reconstruction: 128 consecutive cases. Plast Reconstr Surg 1993;92(2):217-27.
Hartrampf CR, Scheflan M, Black PW. Breast reconstruction with a transverse abdominal island flap. Plast Reconstr Surg 1982;69(2):216-25.
Amid PK, Shulman AG, Lichtenstein IL, Hakakha M. Biomaterials for abdominal wall hernia surgery and principles of their applications. Langenbecks Arch Chir 1994;379(3):168-71.
Hein KD, Morris DJ, Goldwyn RM, Kolker A. Dermal autografts for fascial repair after TRAM flap harvest. Plast Reconstr Surg 1998;102(7):2287-92.
Bunkis J, Walton RL, Mathes SJ, Krizek TJ, Vasconez LO. Experience with the transverse lower rectus abdominisoperation for breast reconstruction. Plast Reconstr Surg 1983;72(6):819-29.
Scheflan M. Rectus abdominis myocutaneous flaps. Plast Reconstr Surg 1983;72(5):737-9.
Robbins TH. Rectus abdominis myocutaneous flap for breast reconstruction. Aust N Z J Surg 1979;49(5):527-30.
Hartrampf CR Jr, Bennett GK. Autogenous tissue reconstruction in the mastectomy patient. A critical reviewof 300 patients. Ann Surg 1987;205(5):508-19.
Dinner MI, Dowden RV. The value of the anterior rectus sheath in the transverse abdominal island flap. Plast Reconstr Surg 1983;72(5):724-6.
Hartrampf CR Jr. Abdominal wall competence in transverse abdominal island flap operations. Ann Plast Surg 1984;12(2):139-46.
Lejour M, Dome M. Abdominal wall function after rectus abdominis transfer. Plast Reconstr Surg 1991;87(6):1054-68.
Drever JM, Hodson-Walker N. Closure of the donor defect for breast reconstruction with rectus abdominis myocutaneous flaps. Plast Reconstr Surg 1985;76(4):558-65.
Color flow duplex scanning: a technique to improve transverse rectus abdominis myocutaneous. (TRAM) flap viability. J Vasc Techno1 1993;17:5.
Pennington DG, Lam T. Gore-Tex patch repair of the anterior rectus sheath in free rectus abdominis muscle and myocutaneous flaps. Plast Reconstr Surg 1996;97(7):1436- 40; discussion 1441-2.
Buinewicz B, Rosen B. Acellular cadaveric dermis (AlloDerm): a new alternative for abdominal hernia repair. Ann Plast Surg 2004;52(2):188-94.
Islam S, Ogane K, Ohkuma H, Suzuki S. Usefulness of acellular dermal graft as a dural substitute in experimental model. Surg Neurol 2004;61(3):297-302; discussion 303.
Loewe O. Ueber Hautimplantation a Stelle der freien Fraszienplastik. Munchen Med Wochenschr 1913;23:1320.
Uihlein A. Use of the cutis graft in plastic operations. Arch Surg 1939;38:118.
Marchac D, Kaddoura R. Repair of large midline abdominal-wall hernias by a running strip of abdominal skin. Plast Reconstr Surg 1983;72(3):341-6.
Reith HB, Dittrich H, Kozuscheck W. Morphologie und Einheilung der Kutisplastik bei Bauch-wanddefekten: Ein Tier experimentelle Untersuchung. Langenbecks Arch Chir 1994;379:13.
Mizgala CL, Hartrampf Jr CR, Bennett GK. Abdominal function after pedicled TRAM flap surgery. Clin. Plast. Surg. 21:255–72, 1994.
Kroll SS, Marchi M. Comparison of strategies for preventing abdominal-wall weakness after TRAM flap breast reconstruction. Plast Reconstr Surg 1992;89(6):1045- 51; discussion 1052-3.
Omranipour R, Lebaschi AH, Mohagheghi MA, Arab- Kheradmand A, Abasahl A. Outcome of breast reconstruction with pedicled transverse rectus abdominis myocutaneous (TRAM) flap at Cancer Institute. A retrospective study of 10 years experience. Acta Medica Iranica 2008; 46(3) : 218-224.
Zienowicz RJ, May JW Jr. Hernia prevention and aesthetic contouring of the abdomen following TRAM flap breast reconstruction by the use of polypropylene mesh. Plast Reconstr Surg 1995;96(6):1346-50.
Glasberg SB, D'Amico RA. Use of regenerative human acellular tissue (AlloDerm) to reconstruct the abdominal wall following pedicle TRAM flap breast reconstruction surgery. Plast Reconstr Surg 2006;118(1):8-15.
| Files | ||
| Issue | Vol 48, No 2 (2010) | |
| Section | Original Article(s) | |
| Keywords | ||
| Transplantation autologous dermis surgical flaps reconstructive surgical procedures head neck | ||
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