유리 복직근 근(피)판을 이용한 다양한 조직결손의 재건 = RECONSTRUCTION OF VARIOUS TISSUE DEFECT WITH FREE RECTUS ABDOMINS MUSCLE OR MUSCULOCUTANEOUS FLAP

다국어 초록 (Multilingual Abstract)

We experienced 23 cases of rectus abdominis muscle or musculocutaneous free flap for the reconstruction of tissue defects after surgical resection of malignant tumors and trauma. Open tibia fracture was the most common indication for free tissue transfer followed by the breast reconstruction after mastectomy. The most common tissue defect sites were chest wall and then lower extremity below knee, with varying degrees of size from 5×7cm to 25×35cm.
Rectus abdominis muscle and musculocutaneous free flaps have many advantages over other free flaps, including a low incidence of donor site morbidity, the long, large and consistent pedicle, the relatively easy surgical dissection, wide range of flap design and tissue combination, controllable flap sizes by splitting without excessive bulk and short operation time with two team approach. Therefore recuts abdominis muscle and musculocutaneous free flap can be widely applied to the reconstruction of tissue defects of variable size and location.