Abstract
Background
Surgery of the abdominal cavity may lead to postoperative defects to the ventricular segment of the abdominal wall. The reconstruction of these defects, especially in the area of the median line, represents an issue during the course of healing due to the role of the abdominal cavity in respiratory processes.
Methods
Reconstructive surgical procedure was performed on an infected vast defect to the ventral segment of the abdominal wall in a 77-year-old woman by a modified “Mercedes closure pattern,” i.e., by combining three fasciocutaneous flaps: bipedicle flap of the upper segment of the abdominal wall and two sliding breast flaps.
Results
Application of a modified complex Mercedes closure pattern was successful and positively affected the redistribution of pressure forces at the places where the edges of the wound were in contact.
Conclusions
The applied and described technique of closing the abdominal cavity decreased the possibility of infection to the prosthetic material, because direct contact between the sutures and the prosthetic no longer existed.
Level of Evidence IV
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Acknowledgments
No funding was used for the preparation of this article.
Author Contribution
Zoran Veir conceived and designed the study; interpreted the data; wrote the manuscript; and approved the final version of the manuscript. Nino Fuchs collected the data; analyzed and interpreted the data; wrote the manuscript; and approved the final version of the manuscript. Davor Mijatović interpreted the data and provided the critical revisions important for intellectual content. Kristijan Kunjko collected the data; analyzed and interpreted the data. Nataša Beader collected the data and analyzed and interpreted the data.
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Veir, Z., Fuchs, N., Mijatović, D. et al. Abdominal Wall Defect Reconstructed by Breast Flaps Using a Mercedes Closure Pattern. Aesth Plast Surg 40, 395–399 (2016). https://doi.org/10.1007/s00266-016-0626-9
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DOI: https://doi.org/10.1007/s00266-016-0626-9