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Repair of Large Abdominal Wall Defects Using Total Anterior Aponeurotic Flap: Anatomical Feasibility Study and Comparison with Ramirez's Technique

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Published in Plastic and Reconstructive Surgery, Global Open. 2016, vol. 4, no. 12, p. e1153
Abstract In this cadaveric study, we explored the feasibility of a maximal mobilization of the superficial abdominal fascia, in a continuous flap, to achieve a tension-free covering of midline defects. The aponeurosis of the external oblique muscle was incised along the anterior axillary line and then detached up to the anterior rectus sheath. The latter was opened between the external and the internal oblique aponeurosis while keeping the continuity with the external oblique fascia. The obtained flap was solid and uninterrupted. The width gain reached 15 ± 3 cm on each sides, providing tissue advancement 60% longer than Ramirez's technique (n = 8). The described technique allows large covering with respect to the anatomical planes. Further clinical tests should evaluate the validity of such concept in the repair of giant and asymmetrical hernias.
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PMID: 28293508
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Article (Published version) (853 Kb) - public document Free access
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Research group Chirurgie viscérale (104)
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STASZEWICZ, Wojciech et al. Repair of Large Abdominal Wall Defects Using Total Anterior Aponeurotic Flap: Anatomical Feasibility Study and Comparison with Ramirez's Technique. In: Plastic and Reconstructive Surgery, Global Open, 2016, vol. 4, n° 12, p. e1153. https://archive-ouverte.unige.ch/unige:93132

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Deposited on : 2017-04-05

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