Skip to main content
Journal cover image

WITHDRAWN: The extended abdominal wall flap for transplantation.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
November 2011

INTRODUCTION: Patients with extensive loss of 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 cadaver 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, superficial inferior epigastric, and the superficial circumflex iliac arteries. RESULTS: Abdominal wall flaps were taken full thickness from the costal margin to the mid-axial line and down to the pubic tubercle and proximal thigh. In all specimens, the deep inferior epigastric, deep circumflex iliac, superficial inferior epigastric, and the 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% versus 57.2 +/- 5%; Student t test, P < .05). CONCLUSIONS: Perfusion of a large portion of the abdominal wall is possible using 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

November 2011

Volume

43

Issue

9

Start / End Page

3535 / 3540

Location

United States

Related Subject Headings

  • 3204 Immunology
  • 3202 Clinical sciences
  • 11 Medical and Health Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hollenbeck, S. T., Senghaas, A., Turley, R., Ravindra, K. V., Zenn, M. R., Levin, L. S., & Erdmann, D. (2011). WITHDRAWN: The extended abdominal wall flap for transplantation. Transplant Proc, 43(9), 3535–3540. https://doi.org/10.1016/j.transproceed.2011.08.047
Hollenbeck, S. T., A. Senghaas, R. Turley, K. V. Ravindra, M. R. Zenn, L. S. Levin, and D. Erdmann. “WITHDRAWN: The extended abdominal wall flap for transplantation.Transplant Proc 43, no. 9 (November 2011): 3535–40. https://doi.org/10.1016/j.transproceed.2011.08.047.
Hollenbeck ST, Senghaas A, Turley R, Ravindra KV, Zenn MR, Levin LS, et al. WITHDRAWN: The extended abdominal wall flap for transplantation. Transplant Proc. 2011 Nov;43(9):3535–40.
Hollenbeck, S. T., et al. “WITHDRAWN: The extended abdominal wall flap for transplantation.Transplant Proc, vol. 43, no. 9, Nov. 2011, pp. 3535–40. Pubmed, doi:10.1016/j.transproceed.2011.08.047.
Hollenbeck ST, Senghaas A, Turley R, Ravindra KV, Zenn MR, Levin LS, Erdmann D. WITHDRAWN: The extended abdominal wall flap for transplantation. Transplant Proc. 2011 Nov;43(9):3535–3540.
Journal cover image

Published In

Transplant Proc

DOI

EISSN

1873-2623

Publication Date

November 2011

Volume

43

Issue

9

Start / End Page

3535 / 3540

Location

United States

Related Subject Headings

  • 3204 Immunology
  • 3202 Clinical sciences
  • 11 Medical and Health Sciences