ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Wrapping rectus abdominis flap for complete vascular protection in the groin region
Eyüphan Gencel1, Cengiz Eser1, Erol Kesiktaş1, Uğur Göçen2, Atakan Atalay2
1Departments of Plastic, Reconstructive and Aesthetic Surgery, Medical Faculty of Çukurova University, Adana, Turkey
2Departments of Cardiovascular Surgery, Medical Faculty of Çukurova University, Adana, Turkey
DOI : 10.5606/tgkdc.dergisi.2015.11769
In this article, we present a novel method utilizing a wraparound muscle flap for the treatment of groin wounds with infected vascular grafts or femoral vessels. Five patients underwent operations involving the wrap-around vertical rectus abdominis muscle flap due to peripheral arterial disease (n=3) or high-energy gunshot trauma (n=2). Hemorrhagic complications were not encountered in patients with gunshot wounds. No portion of the vascular system became exposed during the two year follow-up period. Among those with peripheral vascular disease, one patient died and one patient underwent a late amputation. We suggest that the wrapping technique can decrease the early postoperative complications in patients with highenergy gunshot wounds.
Keywords : Groin; peripheral arterial disease; postoperative complication; rectus abdominis; soft tissue infection
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