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The extended abdominal wall flap for transplantation.

Publication ,  Journal Article
Hollenbeck, ST; Senghaas, A; Turley, R; Ravindra, KV; Zenn, MR; Levin, LS; Erdmann, D
Published in: Transplant Proc
June 2011

INTRODUCTION AND AIMS: Patients with extensive loss of the abdominal wall tissue have few options for restoring the abdominal cavity. Composite tissue allotransplantation has been used for limited abdominal wall reconstruction in the setting of visceral transplantation, yet replacement of the entire abdominal wall has not been described. The purpose of this study was to determine the maximal abdominal skin surface available through an external iliac/femoral cuff-based pedicle. MATERIALS AND METHODS: Five human cadaveric abdominal walls were injected with methylene blue to analyze skin perfusion based on either the deep inferior epigastric artery (DIEA; n = 5) or a cuff of external iliac/femoral artery (n = 5) containing the deep circumflex iliac, deep inferior epigastric, and superficial inferior epigastric, and superficial circumflex iliac arteries. RESULTS: Abdominal wall flaps were taken full thickness from the costal margin to the midaxillary line and down to the pubic tubercle and proximal thigh. In all specimens, the deep inferior epigastric, deep circumflex iliac, superficial inferior epigastric, and superficial circumflex iliac arteries were found to originate within a 4-cm cuff of the external iliac/femoral artery. Abdominal wall flaps injected through a unilateral external iliac/femoral segment had a significantly greater degree of total flap perfusion than those injected through the DIEA alone (76.5% ± 4% vs 57.2% ± 5%; Student t test, P < .05). CONCLUSIONS: Perfusion of a large portion of the abdominal wall is possible using a single-vessel anastomosis through a short segment of the external iliac/femoral system. Perfusion is significantly greater than that based on the DIEA vessel alone.

Duke Scholars

Published In

Transplant Proc

DOI

EISSN

1873-2623

Publication Date

June 2011

Volume

43

Issue

5

Start / End Page

1701 / 1705

Location

United States

Related Subject Headings

  • Transplantation
  • Surgical Flaps
  • Humans
  • Cadaver
  • Adult
  • Abdominal Wall
  • 3204 Immunology
  • 3202 Clinical sciences
  • 11 Medical and Health Sciences
 

Citation

APA
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ICMJE
MLA
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Hollenbeck, S. T., Senghaas, A., Turley, R., Ravindra, K. V., Zenn, M. R., Levin, L. S., & Erdmann, D. (2011). The extended abdominal wall flap for transplantation. Transplant Proc, 43(5), 1701–1705. https://doi.org/10.1016/j.transproceed.2011.01.176
Hollenbeck, S. T., A. Senghaas, R. Turley, K. V. Ravindra, M. R. Zenn, L. S. Levin, and D. Erdmann. “The extended abdominal wall flap for transplantation.Transplant Proc 43, no. 5 (June 2011): 1701–5. https://doi.org/10.1016/j.transproceed.2011.01.176.
Hollenbeck ST, Senghaas A, Turley R, Ravindra KV, Zenn MR, Levin LS, et al. The extended abdominal wall flap for transplantation. Transplant Proc. 2011 Jun;43(5):1701–5.
Hollenbeck, S. T., et al. “The extended abdominal wall flap for transplantation.Transplant Proc, vol. 43, no. 5, June 2011, pp. 1701–05. Pubmed, doi:10.1016/j.transproceed.2011.01.176.
Hollenbeck ST, Senghaas A, Turley R, Ravindra KV, Zenn MR, Levin LS, Erdmann D. The extended abdominal wall flap for transplantation. Transplant Proc. 2011 Jun;43(5):1701–1705.
Journal cover image

Published In

Transplant Proc

DOI

EISSN

1873-2623

Publication Date

June 2011

Volume

43

Issue

5

Start / End Page

1701 / 1705

Location

United States

Related Subject Headings

  • Transplantation
  • Surgical Flaps
  • Humans
  • Cadaver
  • Adult
  • Abdominal Wall
  • 3204 Immunology
  • 3202 Clinical sciences
  • 11 Medical and Health Sciences