Journal article
Using pedicled TRAM flap in conjunction with the bony anchoring reinforcement system (BARS) for abdominal wall reconstruction
European journal of plastic surgery, v 37(7), pp 381-386
01 Jul 2014
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Pedicled transverse rectus abdominismyocutaneous (TRAM) breast reconstruction is associated with increased abdominal wall morbidity. We present a method of abdominal wall reconstruction using an adjunct technique to validated procedures of hernia repair.
Methods This study is a retrospective, single-surgeon analysis of 21 patients between 2005 and 2012. Patients had bony suture anchoring of synthetic polypropylene mesh to the anterior superior iliac spine bilaterally and the pubic symphysis after the abdominal fascia was reconstructed.
Results Patient mean follow- up was 62 months. Of the series, five patients underwent bilateral pedicled TRAM breast reconstruction. None of the 21 patients developed abdominal wall hernias. One patient developed postoperative bulging, which was retreated successfully. Two patients developed mesh infections; none required radical removal of mesh. There were no flap failures or loss in the series.
Conclusions The BARS technique for abdominal wall reconstruction provides excellent reinforcement of abdominal reconstruction in conjunction with pedicled TRAM breast reconstruction.
Level of Evidence: Level IV, therapeutic study.
Metrics
Details
- Title
- Using pedicled TRAM flap in conjunction with the bony anchoring reinforcement system (BARS) for abdominal wall reconstruction
- Creators
- Andrew I. Elkwood - Drexel UniversityRussell L. Ashinoff - Institute for Advanced ReconstructionMatthew R. Kaufman - Institute for Advanced ReconstructionMichael I. Rose - Institute for Advanced ReconstructionJohn Cece - Institute for Advanced ReconstructionTushar R. Patel - Institute for Advanced ReconstructionLeo R. Otake - Institute for Advanced Reconstruction
- Publication Details
- European journal of plastic surgery, v 37(7), pp 381-386
- Publisher
- Springer Nature
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000217737500004
- Scopus ID
- 2-s2.0-84903484007
- Other Identifier
- 991019169683004721
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- Web of Science research areas
- Surgery