Rotational and Free Flap Closure of the Abdominal Wall

Published on 09/04/2015 by admin

Filed under Surgery

Last modified 09/04/2015

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Chapter 15 Rotational and Free Flap Closure of the Abdominal Wall image

1 Preoperative Considerations

2 Muscular Flaps (Table 15-1)

image Figure 15-1 shows the cross-sectional anatomy of the thigh demonstrating the possible muscles for coverage of abdominal wall defects

1 Tensor fascia lata

image Anatomy

image The TFL muscle (Fig. 15-2) is a short, flat muscle that is approximately 12 to 15 cm long. It acts as an accessory flexor and medial rotator of the thigh. It originates from the anterior iliac crest and the deep surface of the fascia lata. At the origin, it lies between the gluteus medius and sartorius, and superficial to the vastus lateralis. It inserts into the iliotibial tract, which inserts distally on Gerdy’s tubercle on the lateral aspect of the tibia.

2 Latissimus dorsi