title: A novel method of minimally invasive rectus abdominis muscle flap harvest: Laparoscopic surgeons take note.
abstract: The rectus abdominis muscle (RAM) is a workhorse flap to fill or repair abdominal defects. A drawback of an open RAM harvest is donor site morbidity, and minimally invasive techniques for flap harvesting have been previously proposed but involve vertical division of the rectus fascia. We present a case of a 52-year-old woman with a recurrent rectovaginal fistula in a radiated field treated with a laparoscopic low anterior resection with simultaneous RAM flap harvest utilising a single Pfannenstiel incision. Our novel modified laparoscopic-assisted RAM harvest technique prevents longitudinal violation of the anterior and posterior rectus sheaths, thereby promoting a quick recovery, improved cosmesis and decreased post-operative morbidity.
authors.affiliation: Research Fellow, University of Florida College of Medicine, Gainesville, Florida, USA.
authors.forename: Tabish
authors.initials: T
authors.lastname: Aijaz
authors.affiliation: Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
authors.forename: Dhruv
authors.initials: D
authors.lastname: Singhal
authors.affiliation: Department of Surgery, Division of General Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
authors.forename: Sanda A
authors.initials: SA
authors.lastname: Tan
authors.affiliation: Department of Surgery, Division of General Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
authors.forename: Atif
authors.initials: A
authors.lastname: Iqbal