Abstract
Reconstruction of massive contaminated abdominal wall defects associated with enteroatmospheric fistulation represents a technical challenge. An effective technique that allows closure of intestinal fistulas and reconstruction of the abdominal wall, with a good functional and cosmetic result, has yet to be described. The present study is a retrospective review of simultaneous reconstruction of extensive gastrointestinal tract fistulation and large full-thickness abdominal wall defects, using a novel pedicled subtotal thigh flap. The flap, based on branches of the lateral circumflex femoral artery, was used to reconstruct the abdominal wall in six patients who were dependent on artificial nutritional support, with a median (range) of 4·5 (3-23) separate intestinal fistulas, within open abdominal wounds with a surface area of 564·5 (204-792) cm2. Intestinal reconstruction was staged, with delayed closure of a loop jejunostomy. Median follow-up was 93·5 (10-174) weeks. Successful healing occurred in all patients, with no flap loss or gastrointestinal complications. One patient died from complications of sepsis unrelated to the surgical treatment. All surviving patients gained complete nutritional autonomy following closure of the ...Continue Reading
References
Nov 1, 1990·Archives of Surgery·M Schein
Sep 1, 1990·Plastic and Reconstructive Surgery·O M RamirezA L Dellon
Jul 1, 1983·British Journal of Plastic Surgery·J S Watson
Dec 1, 1981·The British Journal of Surgery·B J MayouE E Abdulnour
Oct 1, 1994·The British Journal of Surgery·V ScripcariuN A Scott
Mar 21, 1998·Plastic and Reconstructive Surgery·J K WilliamsJ J Coleman
Mar 26, 1998·Plastic and Reconstructive Surgery·M NinkovićH Anderl
Jul 9, 1998·Plastic and Reconstructive Surgery·K DepuydtA D'Hoore
Nov 12, 1998·Plastic and Reconstructive Surgery·K SasakiT Huang
Mar 24, 1999·Plastic and Reconstructive Surgery·Y KimataK Harii
Jan 3, 2001·The British Journal of Surgery·R A-Malik, N A Scott
Jul 5, 2003·Lancet·David M LeviPhillip Ruiz
May 4, 2004·The British Journal of Surgery·A TeubnerG L Carlson
Nov 23, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·S SarabahiMohit Sharma
Feb 15, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M RaoP M Sagar
Jun 16, 2007·The British Journal of Surgery·T S de Vries ReilinghR P Bleichrodt
Apr 1, 2008·Annals of Surgery·Patrick T ConnollyGordon L Carlson
Jan 10, 2009·Journal of Wound Care·S L Trevelyan, G L Carlson
Mar 31, 2009·Transplantation Proceedings·G SelvaggiA G Tzakis
Dec 25, 2009·Surgical Innovation·Karem C Harth, Michael J Rosen
Jan 15, 2010·Plastic and Reconstructive Surgery·Samuel J Lin, Charles E Butler
May 22, 2010·Current Opinion in Critical Care·Gordon L Carlson, Paul Dark
Jan 15, 2011·Annals of Plastic Surgery·Justin B MaxhimerEduardo D Rodriguez
Apr 12, 2011·The British Journal of Surgery·E Tukiainen, A Leppäniemi
Citations
Feb 13, 2016·Langenbeck's Archives of Surgery·Salomone Di SaverioGregorio Tugnoli
Sep 17, 2013·The Surgical Clinics of North America·Dominic Alexander James Slade, Gordon Lawrence Carlson
May 6, 2015·PloS One·Da-Xin SunXian-Wei Dai
Mar 11, 2016·British Journal of Hospital Medicine·Nicholas Stylianides, Dominic A J Slade
Aug 24, 2016·The Journal of Trauma and Acute Care Surgery·Osvaldo ChiaraEmiliano Cingolani
Mar 29, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T PruimboomS S Qiu