Wrapping rectus abdominis flap for complete vascular protection in the groin region

Eyüphan Gencel; Cengiz Eser; Erol Kesiktaş; Uğur Göçen; Atakan Atalay

doi:10.5606/tgkdc.dergisi.2015.11769

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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