One-stage repair of the anterior abdominal wall using bilateral rectus femoris myocutaneous flaps.
Total lower abdominal wall resection was required to remove a recurrent exophytic bladder carcinoma in a 36-year-old woman. The resulting 25 x 30-cm fascial defect was repaired with Marlex mesh. Bilateral rectus femoris myocutaneous flaps were rotated to close the 25 x 18-cm area of skin deficiency. These provided the advantages of robust cover of the lower abdominal wall in a single-stage procedure and primary closure of the donor sites.
Freedman
A M
AM
Department of Plastic Surgery, Long Island Jewish Medical Center, New Hyde Park, NY.
Gayle
L B
LB
Vaughan
E D
ED
Hoffman
L A
LA
D000009:Abdominal Muscles / Q000601:surgery*; D000328:Adult; D002295:Carcinoma, Transitional Cell / Q000473:pathology*; D005260:Female; D006085:Graft Survival; D006801:Humans; D009132:Muscles / Q000637:transplantation*; D016038:Skin Transplantation / Q000379:methods*; D012983:Soft Tissue Neoplasms / Q000556:secondary / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D013848:Thigh; D001749:Urinary Bladder Neoplasms / Q000473:pathology* / Q000601:surgery