A one-stage flap reconstruction following resection for stomal recurrence

Area of Science:

• Surgical Oncology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Stomal recurrence presents a reconstructive challenge after ablative surgery.
• Pectoralis major myocutaneous island flaps are a potential reconstructive option.

Purpose of the Study:

• To present a one-stage surgical technique for stomal recurrence reconstruction using a pectoralis major myocutaneous island flap.
• To evaluate the efficacy of this technique in clinical cases.

Main Methods:

• Utilized pectoralis major myocutaneous island flap for reconstruction.
• Harvested flap supplied by thoracicoacromial artery perforators.
• Created a new stoma within the flap's skin island.
• Covered great vessels with the pectoralis major muscle pedicle.

Main Results:

• The pectoralis major myocutaneous island flap was successfully used for one-stage reconstruction.
• Seven cases demonstrated successful outcomes with the described surgical technique.
• The technique allowed for primary flap elevation and stoma creation.

Conclusions:

• Pectoralis major myocutaneous island flap is an effective method for one-stage stomal recurrence reconstruction.
• The technique ensures adequate coverage of great vessels and functional stoma creation.
• This approach offers a viable solution for complex reconstructive challenges.