tailieunhanh - Báo cáo y học: " New technical approach for the repair of an abdominal wall defect after a transverse rectus abdominis myocutaneous flap: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: New technical approach for the repair of an abdominal wall defect after a transverse rectus abdominis myocutaneous flap: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report New technical approach for the repair of an abdominal wall defect after a transverse rectus abdominis myocutaneous flap a case report Daniel A Kaemmer Joachim Conze Jens Otto and Volker Schumpelick Address Department of Surgery Medical Faculty Rheinish-Westphalian Technical University D-52074 Aachen Germany Email Daniel A Kaemmer - dkaemmer@ Joachim Conze - jconze@ Jens Otto - jeotto@ Volker Schumpelick - vschumpelick@ Corresponding author Published 16 April 2008 Received 16 August 2007 Journal of Medical Case Reports 2008 2 108 doi 1752-1947-2-108 Accepted 16 April 2008 This article is available from http content 2 1 108 2008 Kaemmer et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Introduction Breast reconstruction with autologous tissue transfer is now a standard operation but abnormalities of the abdominal wall contour represent a complication which has led surgeons to invent techniques to minimize the morbidity of the donor site. Case presentation We report the case of a woman who had bilateral transverse rectus abdominis myocutaneous flap TRAM-flap breast reconstruction. The surgery led to the patient developing an enormous abdominal bulge that caused her disability in terms of abdominal wall and bowel function pain and contour. In the absence of rectus muscle the large defect was repaired using a combination of the abdominal wall component separation technique of Ramirez et al and additional mesh augmentation with a lightweight large-pore polypropylene mesh Ultrapro . .