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A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect

Introduction and importance: Lateral abdominal wall (LAW) defect presents as a rare and unique challenge to the reconstructive surgeons. Case presentation: We report a huge recurrent right lateral abdominal DFSP with local invasion in a 35-year-old lady. After wide local excision, the reconstruction...

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Main Authors: Liu Yi, Zosimo Ken L. Jimeno IV, Ramesh Sasidaran, Pan, Ann Feng, Nik Amin Sahid Nik Lah
Format: Article
Language:English
English
Published: Elsevier 2021
Subjects:
RC31-1245 Internal medicine
Online Access:https://eprints.ums.edu.my/id/eprint/32664/1/A%20challenge%20in%20soft%20tissue%20reconstruction.pdf
https://eprints.ums.edu.my/id/eprint/32664/2/A%20challenge%20in%20soft%20tissue%20reconstruction%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/32664/
https://www.sciencedirect.com/science/article/pii/S2049080121008839#!
https://doi.org/10.1016/j.amsu.2021.102933
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spelling my.ums.eprints.326642022-06-08T03:47:17Z https://eprints.ums.edu.my/id/eprint/32664/ A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect Liu Yi Zosimo Ken L. Jimeno IV Ramesh Sasidaran Pan, Ann Feng Nik Amin Sahid Nik Lah RC31-1245 Internal medicine Introduction and importance: Lateral abdominal wall (LAW) defect presents as a rare and unique challenge to the reconstructive surgeons. Case presentation: We report a huge recurrent right lateral abdominal DFSP with local invasion in a 35-year-old lady. After wide local excision, the reconstruction was done by using pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap. Clinical discussion: The goal of reconstruction of the lateral abdominal wall is similar to that of the anterior abdominal wall, namely to provide a static repair that will not attenuate and form a bulge or hernia over time. Anchoring a mesh to stable fixation points is expected to ensure structural integrity in the LAW defect. However, we selected fascial inset from our flaps which did not lead to hernia formation or a bulge following a 7-month postoperative review. In terms of soft tissue coverage, the pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap were used. The standard free flap will require more complexity of works, especially if the recipient vessels for microsurgical reconstruction are remotely situated or sometimes not even available. Conclusion: Huge full-thickness LAW defect following an oncological resection can be reconstructed with combination of simpler locoregional flaps which yield good functional and aesthetic outcome. Elsevier 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/32664/1/A%20challenge%20in%20soft%20tissue%20reconstruction.pdf text en https://eprints.ums.edu.my/id/eprint/32664/2/A%20challenge%20in%20soft%20tissue%20reconstruction%20_ABSTRACT.pdf Liu Yi and Zosimo Ken L. Jimeno IV and Ramesh Sasidaran and Pan, Ann Feng and Nik Amin Sahid Nik Lah (2021) A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect. Annals of Medicine and Surgery, 71. pp. 1-6. ISSN 2049-0801 https://www.sciencedirect.com/science/article/pii/S2049080121008839#! https://doi.org/10.1016/j.amsu.2021.102933
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic RC31-1245 Internal medicine
spellingShingle RC31-1245 Internal medicine
Liu Yi
Zosimo Ken L. Jimeno IV
Ramesh Sasidaran
Pan, Ann Feng
Nik Amin Sahid Nik Lah
A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect
description Introduction and importance: Lateral abdominal wall (LAW) defect presents as a rare and unique challenge to the reconstructive surgeons. Case presentation: We report a huge recurrent right lateral abdominal DFSP with local invasion in a 35-year-old lady. After wide local excision, the reconstruction was done by using pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap. Clinical discussion: The goal of reconstruction of the lateral abdominal wall is similar to that of the anterior abdominal wall, namely to provide a static repair that will not attenuate and form a bulge or hernia over time. Anchoring a mesh to stable fixation points is expected to ensure structural integrity in the LAW defect. However, we selected fascial inset from our flaps which did not lead to hernia formation or a bulge following a 7-month postoperative review. In terms of soft tissue coverage, the pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap were used. The standard free flap will require more complexity of works, especially if the recipient vessels for microsurgical reconstruction are remotely situated or sometimes not even available. Conclusion: Huge full-thickness LAW defect following an oncological resection can be reconstructed with combination of simpler locoregional flaps which yield good functional and aesthetic outcome.
format Article
author Liu Yi
Zosimo Ken L. Jimeno IV
Ramesh Sasidaran
Pan, Ann Feng
Nik Amin Sahid Nik Lah
author_facet Liu Yi
Zosimo Ken L. Jimeno IV
Ramesh Sasidaran
Pan, Ann Feng
Nik Amin Sahid Nik Lah
author_sort Liu Yi
title A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect
title_short A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect
title_full A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect
title_fullStr A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect
title_full_unstemmed A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect
title_sort challenge in soft tissue reconstruction: the use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect
publisher Elsevier
publishDate 2021
url https://eprints.ums.edu.my/id/eprint/32664/1/A%20challenge%20in%20soft%20tissue%20reconstruction.pdf
https://eprints.ums.edu.my/id/eprint/32664/2/A%20challenge%20in%20soft%20tissue%20reconstruction%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/32664/
https://www.sciencedirect.com/science/article/pii/S2049080121008839#!
https://doi.org/10.1016/j.amsu.2021.102933
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score 13.22586

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