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Hernia Surgery pp 313-321 | Cite as

Flap Reconstruction of the Abdominal Wall

  • Donald P. Baumann
  • Charles E. ButlerEmail author
Chapter

Abstract

Flap reconstruction of the abdominal wall is required when there is a tissue defect that exceeds the availability of local tissue to be recruited to resurface the defect. As the majority of abdominal wall defects can be reconstructed with the surrounding redundant tissue from the torso, these defects requiring flap coverage represent a more complex subset of abdominal wall reconstructions. Indications for flap coverage vary by etiology of defect, defect characteristics, and timeline for closure. Flap reconstruction can be performed with local flaps rotation, advancement keystone flaps from the remaining tissue of the trunk. Regional flaps can be harvested from the back or thigh and maintain a pedicled blood supply from the axilla or groin. Free-flap reconstructions represent the most technically challenging flap transfers as they require arteriovenous microanastomosis to revascularize the flap in the recipient site.

Keywords

Flap Abdominal wall reconstruction Pedicled flap Free flap Bioprosthetic mesh Hernia Ventral hernia Surgical mesh Reconstructive surgical procedures Postoperative complications Loss of domain Rectus abdominis Biocompatible materials Component separation Abdominal wall Thoracic wall Chest wall Acellular dermal matrix Strattice AlloDerm Surgimend 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Plastic and Reconstructive SurgeryUniversity of Texas MD Anderson Cancer CenterHoustonUSA

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