title: Extremely thinned inferior rectus abdominis free flap.
abstract: To overcome a major drawback of the inferior rectus abdominis free flap, unpleasant thickness in a obese patient, a method of extreme thinning of the flap has been introduced. Extreme thinning is achieved by resecting a large volume of subcutaneous fatty tissue of the flap using scissors without damaging the subdermal vascular plexus. According to our clinical experience, it is supposed that the extremely thinned portion can be prepared safely when the width-to-length ratio is within 1:2.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Akizuki
authors.forename: K
authors.initials: K
authors.lastname: Harii
authors.forename: A
authors.initials: A
authors.lastname: Yamada
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery*; D000273:Adipose Tissue / Q000601:surgery; D002056:Burns / Q000601:surgery*; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000601:surgery*; D008875:Middle Aged; D013524:Surgical Flaps / Q000379:methods*