Reconstruction of an abdominal wall defect with a superior epigastric perforator propeller flap: case report

• Published in: Annales de chirurgie plastique et esthétique 2014-10, Vol.59 (5), p.360-363
• Main Authors: Lepivert, J-C, Alet, J-M, Michot, A, Pélissier, P, Pinsolle, V
• Format: Article
• Language: fre
• Subjects: Abdominal Wall - surgery; Epigastric Arteries; Humans; Male; Middle Aged; Perforator Flap; Reconstructive Surgical Procedures - methods
• ISSN: 1768-319X
• DOI: 10.1016/j.anplas.2014.04.003

Perforators flaps take a special place in reconstructive surgery. These flaps can be dissected and turned as a propeller blade on its pedicule axis. We report the case of a 54-year-old man presenting a recurrence of a dermatofibrosarcoma in the right hypochondrium. Tumor resection caused a large abdominal wall defect taking the anterior aponeurosis of the rectus abdominis. An angioscanner was realized in preoperative to locate the perforators of the deep superior epigastric artery. We realized a propeller flap based on a perforator of the left superior epigastric artery who allowed to cover the wall defect. We set up a patch of Vicryl® to reconstruct the aponeurosis plan at the same operative time. We didn't note any necrosis and complete healing occurred in 2 weeks. The margins were healthy. The cosmetic result and the low morbidity make this flap a good therapeutic option. This flap seems reliable, arteries perforators are constant with good diameter.