Fuente del CA, Raveh T, Gordon CB

Language: Spanish
References: 5
Page: 163-165
PDF size: 367.30 Kb.

ABSTRACT

In this paper a new method of umbilical repositioning by incising the anterior rectus sheath and rectus abdominis muscle is reported for cases of unilateral abdominal wall plication during the TRAM flap operation. This method keeps the umbilicus stable and nonstenotic, and it avoid hypertrophic scars, which result from other techniques such as direct suturing to the skin. Although it is possible to suppose that this method might weaken contralateral muscle activity, the patients we operated on maintained their ability to perform sit-ups, and no periumbilical or abdominal weakening was noticed.

REFERENCES

1. Hartrampf CR. The transverse abdominal island flap for breast reconstruction: A 7 year experience. Clin Plast Surg 1988; 15: 703.

2. Dinner MI, Dowden RV, Scheflan M. Refinements in the use of transverse abdominal island flap for postmastectomy reconstruction. Ann Plast Surg 1983; 11: 362.

3. Dewan PA. Umbilical transposition in neonates with bladder extrophy. Br J Urol 1995; 76: 797.

4. Lim TC, Tan WTI. Managing the umbilicus during abdominoplasty. Plast Reconstr Surg 1996; 98: 1113.

5. Hammond DC, Larson DI, Severinac RN et al. Rectus abdominis muscle innervation: Implication for TRAM flap elevation. Plast Reconstr Surg 1995; 96: 105.