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. 2019 Jun 15;33(6):712-716.
doi: 10.7507/1002-1892.201901005.

[Application of pedicled anterolateral thigh myocutaneous flap for full-thickness abdominal wall reconstruction after tumor resection]

[Article in Chinese]
Dajiang Song  1 , Zan Li  2 , Xiao Zhou  1 , Yixin Zhang  3 , Xiaowei Peng  1 , Bo Zhou  1 , Chunliu Lü  1
Affiliations

[Application of pedicled anterolateral thigh myocutaneous flap for full-thickness abdominal wall reconstruction after tumor resection]

[Article in Chinese]
Dajiang Song et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. .

Abstract
in English, Chinese

Objective: To explore the effectiveness of pedicled anterolateral thigh myocutaneous flap for full-thickness abdominal wall reconstruction after tumor resection.

Methods: Between September 2010 and December 2017, 18 patients with abdominal wall tumors were collected. There were 11 males and 7 females, with an average age of 45.2 years (range, 29-68 years). Histologic diagnosis included desmoid tumor in 8 cases, sarcomas in 6 cases, malignant teratoma in 2 cases, and colon adenocarcinoma in 2 cases. All abdominal wall defects were full-thickness defects. Peritoneum continuity was reconstructed with mesh; the lateral vastus muscular flaps were used to fill the dead space and rebuild the abdominal wall strength; the abdominal wall soft tissue defects were repaired with pedicled anterolateral thigh flaps. The size of abdominal wall defects ranged from 15 cm×6 cm to 25 cm×22 cm; the size of lateral vastus muscular flap ranged from 10 cm×8 cm to 22 cm×10 cm; the size of anterolateral thigh flap ranged from 14.0 cm×8.0 cm to 21.0 cm×8.5 cm. The bilateral pedicled anterolateral thigh myocutaneous flaps were harvested to repair the extensive abdominal wall defects in 2 cases. All donor sites were sutured directly.

Results: All wounds healed smoothly and all flaps survived totally. All donor sites healed smoothly. The mean follow-up time was 22.5 months (range, 11-56 months). No tumor recurrence occurred, the abdominal function and appearance were satisfactory, no abdominal hernia was noted. Only linear scar left at the donor sites.

Conclusion: Pedicled anterolateral thigh myocutaneous flap combined with mesh is fit for large full-thickness abdominal defect reconstruction.

目的: 探讨带蒂股前外侧肌皮瓣修复腹壁肿瘤术后全层缺损的疗效。.

方法: 2010 年 9 月—2017 年 12 月，收治 18 例腹壁肿瘤患者。男 11 例，女 7 例；年龄 29～68 岁，平均 45.2 岁。原发疾病：腹壁纤维瘤 8 例，肉瘤 6 例，结肠腺癌腹壁转移 2 例，恶性畸胎瘤 2 例。手术彻底切除肿瘤，遗留全层腹壁缺损范围为 15 cm×6 cm～25 cm×22 cm；采用网片固定重建腹膜连续性，带蒂股前外侧肌皮瓣填充腔隙及修复皮肤软组织缺损；其中股外侧肌瓣切取范围为 10 cm×8 cm～22 cm×10 cm，股前外侧皮瓣为 14.0 cm×8.0 cm～21.0 cm×8.5 cm。其中 2 例大面积缺损采用双侧带蒂股前外侧肌皮瓣修复。供区均直接拉拢缝合。.

结果: 术后所有皮瓣顺利成活，创面Ⅰ期愈合；供区切口Ⅰ期愈合。患者均获随访，随访时间 11～56 个月，平均 22.5 个月。随访期间均无肿瘤复发，未见腹壁疝表现，皮瓣外观及腹部功能均满意。.

结论: 带蒂股前外侧肌皮瓣结合网片适用于修复腹壁肿瘤术后全层缺损。.

Keywords: Abdominal wall defect; abdominal wall tumor; anterolateral thigh myocutaneous flap; pedicled flap; wound repair.

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Figures

图 1
图 1
Schematic drawing of pedicled anterolateral thigh myocutaneous flap that be transferred through the tunnel to repair the abdominal wall defect 带蒂股前外侧肌皮瓣通过隧道转移修复腹壁缺损示意图
图 2
图 2
A typical case 典型病例
See this image and copyright information in PMC

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