Eur J Plast Surg (2000) 23:52 © Springer-Verlag 2000 LETTER T O THE EDIT OR G.J.P. Williams · S.J. Withey · A.L.H. Moss The aesthetic approach to the harvest of the rectus abdominis flap revisited Sir In 1984 Taylor et al.  published a paper detailing the use of the rectus abdominis muscle flap in 18 patients. In order to produce a more satisfactory donor site scar in the harvest of long muscle segments, they suggested the use of two horizontal incisions. Hallock  reported the use of an incision based over the arcuate line in an at- tempt to further improve the aesthetic appearance of the abdomen. We have used two parallel transverse incisions for the harvest of the muscle flap, one suprapubic and the second at the level of the umbilicus. These allow ex- cellent access for the harvest of a full length muscle flap. A skin paddle may easily be taken to allow flap monitor- Fig. 1 Proposed aesthetic incisions ing or for use in the defect. We are able to confirm the Fig. 2 Traditional incision approach allows for a better donor site scar when com- pared to the traditional vertical approach (Figs. 1,2). References 1. Taylor GI, Corlett RJ, Boyd JB (1984) The versatile deep infe- rior epigastric (inferior rectus abdominis) flap. Br J Plast Surg G.J.P. Williams ( ) · S.J. Withey · A.L.H. Moss 37:330–350 Department of Plastic and Reconstructive Surgery, St.George’s 2. Hallock GG (1989) Aesthetic approach to the rectus abdomin- Hospital, Blackshaw Road, Tooting, London SW17 ORE,UK is free tissue transfer. J Reconstr Microsurg 5:69–73
European Journal of Plastic Surgery – Springer Journals
Published: Jan 14, 2000
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