The use of dermis to reconstruct the musculo-aponeurotic element of the anterior abdominal wall
1Canniesburn Hospital, Bearsden, Glasgow.
British Journal of Plastic Surgery
|November 1, 1991
Abstract:
The use, in two patients, of a free graft of dermis to reconstruct the musculo-aponeurotic element of the anterior abdominal wall is described, one with a defect of the left epigastric region following resection of a desmoid tumour, the other with a periumbilical defect of the entire thickness of the abdominal wall following resection of a fungating colonic carcinoma, the latter patient with an adjacent left iliac defunctioning colostomy. A latissimus dorsi myocutaneous free flap was used to provide overlying cover for the graft.
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01:11Papillary Dermis
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Papillary Layer
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01:15Reticular Dermis
The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...
Reticular Layer
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01:21Muscles of the Abdomen
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Anterolateral Region
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Anterolateral Region
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