Archives of Reconstructive Microsurgery
- 제10권2호
- /
- Pages.163-168
- /
- 2001
- /
- 2383-5257(pISSN)
- /
- 2288-6184(eISSN)
제대주변부 천공분지에 기저를 둔 도서형 피부피판을 이용한 복벽결손의 재건
Reconstruction of Abdominal Wall Defects Using Periumbilical Perforator-Based Island Skin Flap
- 김종진 (전북대학교 의과대학 성형외과학교실, 의과학 연구소) ;
- 문지현 (전북대학교 의과대학 성형외과학교실, 의과학 연구소) ;
-
이내호
(전북대학교 의과대학 성형외과학교실, 의과학 연구소) ;
-
양경무
(전북대학교 의과대학 성형외과학교실, 의과학 연구소)
- Kim, Johng-Jin (Department of Plastic and Reconstructive Surgery, College of Medicine, Chonbuk National University) ;
- Moon, Ji-Hyun (Department of Plastic and Reconstructive Surgery, College of Medicine, Chonbuk National University) ;
-
Lee, Nae-Ho
(Department of Plastic and Reconstructive Surgery, College of Medicine, Chonbuk National University) ;
-
Yang, Kyung-Moo
(Department of Plastic and Reconstructive Surgery, College of Medicine, Chonbuk National University)
- 발행 : 2001.10.31
초록
The defects of the abdominal wall could be brought about either congenitally, for instances in such cases as omphalocele or gastroschisis, or by various acquired causes-trauma, excision of tumors, excision of burn scar, tissue necrosis caused by infection, hematoma after abdominal surgery, tissue necrosis after radiation therapy and so on. As for the techniques of the reconstruction of the abdominal wall defects, many authors have developed and reported diverse methods. To summarize, primary closure, skin graft, local skin flaps, various myocutaneous flaps, free flap, fascia graft, artificial mesh, tissue expansion, etc could be used in the reconstruction of the abdominal wall defects. The periumbilical perforator-based island skin flap has a many advantages such as no significant sacrifice of the rectus abdominis muscle, wide rotation arc, reliable blood flow of the perforator, short elevation time for flap, and for middle-aged, obese patients, the donor site may be the best from the cosmetic point of view. We used perforator-based island skin flap in 5 cases with reasonable result from March 1999 to May 2001. There were no significant complications and donor sites could be repaired primarily.