Naslov
Abdominal Wall Defect Reconstructed by Breast Flaps Using a Mercedes Closure Pattern

Autori
Veir, Zoran ; Fuchs, Nino ; Mijatović, Davor ; Kunjko, Kristijan ; Beader, Nataša

Izvornik
Aesthetic plastic surgery (0364-216X) 40 (2016); 395-399

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
abdominal cavity ; Mercedes closure pattern ; reconstruction

Sažetak
Background: Surgery of the abdominal cavity may lead to postoperative defects to the ventricular segment of the abdominal wall. The reconstruction of these defects, especially in the area of the median line, represents an issue during the course of healing due to the role of the abdominal cavity in respiratory processes. Methods: Reconstructive surgical procedure was performed on an infected vast defect to the ventral segment of the abdominal wall in a 77- year-old woman by a modified “Mercedes closure pattern, ” i.e., by combining three fasciocutaneous flaps: bipedicle flap of the upper segment of the abdominal wall and two sliding breast flaps. Results: Application of a modified complex Mercedes closure pattern was successful and positively affected the redistribution of pressure forces at the places where the edges of the wound were in contact. Conclusions: The applied and described technique of closing the abdominal cavity decreased the possibility of infection to the prosthetic material, because direct contact between the sutures and the prosthetic no longer existed.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA