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Related Experiment Videos

Experience with 80 rectus abdominis free-tissue transfers.

N B Meland1, J Fisher, G B Irons

  • 1Section of Plastic and Reconstructive Surgery, Mayo Clinic.

Plastic and Reconstructive Surgery
|March 1, 1989
PubMed
Summary

Rectus abdominis free-tissue transfers show low donor-site morbidity in 80 patients. This muscle flap is a reliable option for reconstructive surgery due to its ease of use and high success rate.

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Plastic and reconstructive surgery·2000

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Rectus abdominis free-muscle transfer is a reconstructive technique.
  • Donor-site morbidity is a key consideration in free-tissue transfer outcomes.

Observation:

  • Eighty patients undergoing rectus abdominis free-tissue transfers between 1983 and 1986 were evaluated for donor-site complications.
  • Flaps were utilized for lower extremities (62), head and neck (15), arm (2), and intrathoracic (1) reconstructions.
  • Common indications included osteomyelitis (33), soft-tissue defects (26), and facial augmentation (14).

Findings:

  • A low incidence of local donor-site complications was observed (9 out of 80 patients), including seroma (4), wound infection (3), and abdominal wall hernia (1).
  • The overall success rate for rectus abdominis free-muscle transfer was 93%, with six flap losses.

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  • The deep inferior epigastric pedicle offers good consistency and size for dissection.

    • Implications:

    • The rectus abdominis muscular unit is a frequently used and reliable free-tissue transfer option at the institution.
    • Low donor-site morbidity and favorable surgical characteristics support its continued use in reconstructive surgery.
    • This technique offers a successful solution for various defects, including those in the lower extremities and head and neck regions.