Eur J Plast Surg (2011) 34:519–520 DOI 10.1007/s00238-011-0611-0 LETTER TO THE EDITOR Modified components separation technique for TRAM flap donor site closure Mark Schaverien & Cameron Raine Received: 6 March 2011 /Accepted: 21 June 2011 /Published online: 12 July 2011 # Springer-Verlag 2011 Sir, desirable as it results in a low risk of abdominal bulge Components separation is a method of abdominal closure and hernia formation , however where this is not for complex abdominal wall defects first described by possible, techniques such as inlay of prosthetic mesh or Ramirez et al. in 1990 . Since then several modifica- acellular dermal matrix are required to achieve abdominal tions have been described [2–4], and these methods closure. We have found a novel technique of limited achieve local fascial approximation whilst maintaining components separation to have great utility following free dynamic abdominal wall function. The most common muscle-sparing TRAM flap harvest without any bulges or method involves transection of the external oblique hernias occurring to date. aponeurosis just lateral to the linea semilunaris, with The linea semilunaris is first incised along the lateral separation of the external oblique from the internal border of the defect and the external oblique aponeurosis oblique
European Journal of Plastic Surgery – Springer Journals
Published: Dec 1, 2011
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