Rectus Abdominis Free Flap

  • G. Molteni
  • M. Ghirelli
  • C. Plotegher
  • C. Piazza
  • R. Pellini


Rectus abdominis muscle free flap is a good free flap providing a bulky tissue that can be helpful in head and neck reconstruction. Even if less used than before it is a good option that an experienced reconstructive surgeon should know. A brief description of flap anatomy and careful step by step dissection is illustrated in this chapter.


  1. 1.
    Milloy FJ, Anson BJ, McAfee DK. The rectus abdominis muscle and the epigastric arteries. Surg Gynecol Obstet. 1960;110:293–302.PubMedGoogle Scholar
  2. 2.
    Baumann DP, Lin HY, Chevray PM. Perforator number predicts fat necrosis in a prospective analysis of breast reconstruction with free TRAM, DIEP, and SIEA flaps. Plast Reconstr Surg. 2010;125(5):1335–41.CrossRefGoogle Scholar
  3. 3.
    Kaufman T, Hurwitz DJ, Boehnke M, Futrell JW. The microcirculatory pattern of the transverse-abdominal flap: a cross-sectional xerographic and CAT scanning study. Ann Plast Surg. 1985;14(4):340–5.CrossRefGoogle Scholar
  4. 4.
    Yamamoto Y, Minakawa H, Kokubu I, Kawashima K, Sugihara T, Satoh N, Fukuda S. The rectus abdominis myocutaneous flap combined with vascularized costal cartilages in reconstructive craniofacial surgery. Plast Reconstr Surg. 1997;100(2):439–44.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • G. Molteni
    • 1
    • 2
  • M. Ghirelli
    • 3
  • C. Plotegher
    • 4
  • C. Piazza
    • 5
  • R. Pellini
    • 6
  1. 1.Department of Otorhinolaryngology-Head and Neck SurgeryUniversity Hospital of Verona Borgo TrentoVeronaItaly
  2. 2.Department of Surgery, Dentistry, Paediatrics and GynaecologyUniversity of VeronaVeronaItaly
  3. 3.Department of Otorhinolaryngology, Head and Neck SurgeryUniversity Hospital of ModenaModenaItaly
  4. 4.Maxillofacial Surgery and DentistryUniversity Hospital of Verona Borgo RomaVeronaItaly
  5. 5.Department of Otorhinolaryngology, Maxillofacial, and Thyroid Surgery, Fondazione IRCCS, National Cancer Institute of MilanUniversity of MilanMilanItaly
  6. 6.Department of Otolaryngology-Head and Neck SurgeryIRCCS “Regina Elena” National Cancer InstituteRomeItaly

Personalised recommendations