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Reconstruction of infected abdominal wall defects using latissimus dorsi free flap

Title
Reconstruction of infected abdominal wall defects using latissimus dorsi free flap
Author
황규태
Keywords
abdominal defect; free tissue flaps; latissimus dorsi; microsurgery; perforator
Issue Date
2013-07
Publisher
Blackwell Publishing Ltd
Citation
ANZ JOURNAL OF SURGERY, 2013, 83(12), P.948-953
Abstract
IntroductionInfected abdominal defects are a challenge to surgeons. In this study, we describe 10 cases in which the latissimus dorsi myocutaneous flap was used for successful reconstruction of abdominal wall defects severely infected with methicillin-resistant Staphylococcus aureus (MRSA). MethodsRetrospective review of 10 patients with abdominal wall defects that were reconstructed using the latissimus dorsi myocutaneous flap between 2002 and 2010. All patients had abdominal defects with hernias, combined with MRSA infections. The sizes of the flaps ranged from 120 to 364cm(2). The deep inferior epigastric artery was the recipient vessel in nine patients and the internal mammary vessels were used for one patient. ResultsThere were no complications relating to the flaps, although there were other minor complications including wound dehiscence, haematoma and fluid correction. After reconstruction, there were no signs of infection during follow-up periods, and the patients were satisfied with the final results. ConclusionReconstruction using the latissimus dorsi myocutaneous flap, including muscle fascia structures, is a potential treatment option for severely infected large abdominal wall defects.
URI
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1445-2197.2012.06286.xhttp://hdl.handle.net/20.500.11754/52161
ISSN
1445-1433; 1445-2197
DOI
10.1111/j.1445-2197.2012.06286.x
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > ETC
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