title: [Reconstruction of an abdominal wall defect with a superior epigastric perforator propeller flap: case report].
abstract: Perforators flaps take a special place in reconstructive surgery. These flaps can be dissected and turned as a propeller blade on its pedicule axis. We report the case of a 54-year-old man presenting a recurrence of a dermatofibrosarcoma in the right hypochondrium. Tumor resection caused a large abdominal wall defect taking the anterior aponeurosis of the rectus abdominis. An angioscanner was realized in preoperative to locate the perforators of the deep superior epigastric artery. We realized a propeller flap based on a perforator of the left superior epigastric artery who allowed to cover the wall defect. We set up a patch of Vicryl® to reconstruct the aponeurosis plan at the same operative time. We didn't note any necrosis and complete healing occurred in 2 weeks. The margins were healthy. The cosmetic result and the low morbidity make this flap a good therapeutic option. This flap seems reliable, arteries perforators are constant with good diameter.
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main et du poignet, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France. Electronic address: jc.lepivert@gmail.com.
authors.forename: J-C
authors.initials: JC
authors.lastname: Lepivert
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main et du poignet, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Alet
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main et du poignet, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: A
authors.initials: A
authors.lastname: Michot
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main et du poignet, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: P
authors.initials: P
authors.lastname: Pélissier
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main et du poignet, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: V
authors.initials: V
authors.lastname: Pinsolle
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D019074:Epigastric Arteries; D006801:Humans; D008297:Male; D008875:Middle Aged; D061525:Perforator Flap; D019651:Plastic Surgery Procedures / Q000379:methods
keywords: Artère épigastrique supérieure; Dermatofibrosarcoma; Dermatofibrosarcome; Lambeau perforant; Perforator flap; Propeller; Superior epigastric artery