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 UNUSUAL CASE
Year : 2017  |  Volume : 13  |  Issue : 2  |  Page : 146-147

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


1 Research Fellow, University of Florida College of Medicine, Gainesville, Florida, USA
2 Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Florida, USA
3 Department of Surgery, Division of General Surgery, University of Florida College of Medicine, Gainesville, Florida, USA

Correspondence Address:
Atif Iqbal
Department of Surgery, University of Florida, P. O. Box 100109, Gainesville, FL 32610
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.186688

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The rectus abdominis muscle (RAM) is a workhorse flap to fill or repair abdominal defects. A drawback of an 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 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.






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