Pedicled vertical myocutaneous gracilis (VMG) flap for reconstruction of a large composite lower abdominal defect

Pedicled vertical myocutaneous gracilis (VMG) flap for reconstruction of a large composite lower... Management of the complex abdominal wall defect after tumour extipiration represents a challenge and requires careful planning. We report a case of a 76-year-old gentleman treated initially for a T4N0M0 Dukes B sigmoid cancer with anterior resection in 2008. He re-presented 6 months after chemotherapy with a histopathologically proven anterior abdominal wall adenocarcinoma of colonic origin with involvement of the underlying parietal wall and rectus muscle. En bloc resection was undertaken with the harvesting of a vertical myocutaneous gracilis, VMG, pedicled flap (11 × 22 cm) to fill the abdominal soft tissue defect. A concurrent supraumbilical incisional hernia, poor coverage from other local pedicle flap options and multiple co-morbidities made the pedicled VMG the only viable option. We report its success as a valuable option in the reconstructive armamentarium for complex abdominal defects. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Pedicled vertical myocutaneous gracilis (VMG) flap for reconstruction of a large composite lower abdominal defect

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Publisher
Springer-Verlag
Copyright
Copyright © 2012 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-011-0558-1
Publisher site
See Article on Publisher Site

Abstract

Management of the complex abdominal wall defect after tumour extipiration represents a challenge and requires careful planning. We report a case of a 76-year-old gentleman treated initially for a T4N0M0 Dukes B sigmoid cancer with anterior resection in 2008. He re-presented 6 months after chemotherapy with a histopathologically proven anterior abdominal wall adenocarcinoma of colonic origin with involvement of the underlying parietal wall and rectus muscle. En bloc resection was undertaken with the harvesting of a vertical myocutaneous gracilis, VMG, pedicled flap (11 × 22 cm) to fill the abdominal soft tissue defect. A concurrent supraumbilical incisional hernia, poor coverage from other local pedicle flap options and multiple co-morbidities made the pedicled VMG the only viable option. We report its success as a valuable option in the reconstructive armamentarium for complex abdominal defects.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Aug 1, 2012

References

  • Plastic surgery repair of abdominal wall and pelvic floor defects
    Buck, D; Khalifeh, M; Refett, R

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