A novel method of minimally invasive rectus abdominis muscle flap harvest: Laparoscopic surgeons take note

A novel method of minimally invasive rectus abdominis muscle flap harvest: Laparoscopic surgeons take note

Blog Article

The rectus abdominis muscle (RAM) is a workhorse flap to fill or repair abdominal defects.A drawback of an earthbath facial wipes open RAM harvest is donor site morbidity, and minimally invasive techniques for flap harvesting have been previously proposed but involve vertical division of the rectus fascia.We present a case of a 52-year-old woman with a canon imageclass mf227dw recurrent rectovaginal fistula in a radiated field treated with a laparoscopic low anterior resection with simultaneous RAM flap harvest utilising a single Pfannenstiel incision.

Our novel modified laparoscopic-assisted RAM harvest technique prevents longitudinal violation of the anterior and posterior rectus sheaths, thereby promoting a quick recovery, improved cosmesis and decreased post-operative morbidity.