Latissimus dorsi flap salvage of the partially failed TRAM flap breast reconstruction.

Background: The transverse rectus abdominis musculocutaneous (TRAM) flap is an excellent option for patients desiring autogenous breast reconstruction. However, partial flap ischemia can result in isolated areas of skin and fat necrosis, which, when removed, can create irregular and sharply defined defects that distort the aesthetic appearance of the reconstructed breast. Such defects can be difficult to reconstruct with local-tissue rearrangement or with breast implants.

Double-pedicle abdominal perforator free flaps for unilateral breast reconstruction: new horizons in microsurgical tissue transfer to the breast.

The DIEAP (deep inferior epigastric artery perforator) flap is a suitable option for breast reconstruction resulting in excellent aesthetic outcome, and minimal donor site morbidity. Contraindications for use of the DIEAP flap may include previous abdominal liposuction and/or surgery, or lack of abdominal tissue. The purpose of this paper is to describe options of using abdominal perforator flaps, based on double-pedicle techniques, despite these contraindications.

Closure of massive abdominal wall defects: a case report using the abdominal reapproximation anchor (ABRA) system.

Closure of massive abdominal wounds can be a challenging surgical problem. Presented here is a novel technique for reconstitution of the abdominal wall after severe internal injuries complicated by sepsis required a prolonged period of open abdominal dressing changes. By using an innovative and effective progressive tension band system, the fascial edges could be reapproximated over time allowing primary wound closure.