Modified Vertical Rectus Abdominis Musculocutaneous Flap for Limb Salvage Procedures in Proximal Lower Limb Musculoskeletal Sarcomas
Identifieur interne : 002C53 ( Ncbi/Curation ); précédent : 002C52; suivant : 002C54Modified Vertical Rectus Abdominis Musculocutaneous Flap for Limb Salvage Procedures in Proximal Lower Limb Musculoskeletal Sarcomas
Auteurs : Haitham H. Khalil ; Ahmed El-Ghoneimy [Égypte] ; Yasser Farid [Égypte] ; Walid Ebeid [Égypte] ; Ahmed Afifi ; Ahmed Elaffandi [Royaume-Uni] ; Tarek Mahboub [Égypte]Source :
- Sarcoma [ 1357-714X ] ; 2008.
Abstract
Url:
DOI: 10.1155/2008/781408
PubMed: 18389069
PubMed Central: 2278233
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Modified Vertical Rectus Abdominis Musculocutaneous Flap for Limb Salvage Procedures in Proximal Lower Limb Musculoskeletal Sarcomas</title><author><name sortKey="Khalil, Haitham H" sort="Khalil, Haitham H" uniqKey="Khalil H" first="Haitham H." last="Khalil">Haitham H. Khalil</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="El Ghoneimy, Ahmed" sort="El Ghoneimy, Ahmed" uniqKey="El Ghoneimy A" first="Ahmed" last="El-Ghoneimy">Ahmed El-Ghoneimy</name><affiliation wicri:level="1"><nlm:aff id="I3">Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559</wicri:regionArea><wicri:noRegion>Cairo 11559</wicri:noRegion></affiliation></author><author><name sortKey="Farid, Yasser" sort="Farid, Yasser" uniqKey="Farid Y" first="Yasser" last="Farid">Yasser Farid</name><affiliation wicri:level="1"><nlm:aff id="I3">Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559</wicri:regionArea><wicri:noRegion>Cairo 11559</wicri:noRegion></affiliation></author><author><name sortKey="Ebeid, Walid" sort="Ebeid, Walid" uniqKey="Ebeid W" first="Walid" last="Ebeid">Walid Ebeid</name><affiliation wicri:level="1"><nlm:aff id="I3">Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559</wicri:regionArea><wicri:noRegion>Cairo 11559</wicri:noRegion></affiliation></author><author><name sortKey="Afifi, Ahmed" sort="Afifi, Ahmed" uniqKey="Afifi A" first="Ahmed" last="Afifi">Ahmed Afifi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Elaffandi, Ahmed" sort="Elaffandi, Ahmed" uniqKey="Elaffandi A" first="Ahmed" last="Elaffandi">Ahmed Elaffandi</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Surgery, Royal Free Hospital, London NW3 2PN, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Surgery, Royal Free Hospital, London NW3 2PN</wicri:regionArea><wicri:noRegion>London NW3 2PN</wicri:noRegion></affiliation></author><author><name sortKey="Mahboub, Tarek" sort="Mahboub, Tarek" uniqKey="Mahboub T" first="Tarek" last="Mahboub">Tarek Mahboub</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Plastic and Reconstructive Surgery, Cairo University Teaching Hospital, Cairo University, Kasr Al Ainy, Cairo 11559, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Cairo University Teaching Hospital, Cairo University, Kasr Al Ainy, Cairo 11559</wicri:regionArea><wicri:noRegion>Cairo 11559</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18389069</idno><idno type="pmc">2278233</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278233</idno><idno type="RBID">PMC:2278233</idno><idno type="doi">10.1155/2008/781408</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">002697</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002697</idno><idno type="wicri:Area/Pmc/Curation">002696</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002696</idno><idno type="wicri:Area/Pmc/Checkpoint">003933</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003933</idno><idno type="wicri:Area/Ncbi/Merge">002C53</idno><idno type="wicri:Area/Ncbi/Curation">002C53</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Modified Vertical Rectus Abdominis Musculocutaneous Flap for Limb Salvage Procedures in Proximal Lower Limb Musculoskeletal Sarcomas</title><author><name sortKey="Khalil, Haitham H" sort="Khalil, Haitham H" uniqKey="Khalil H" first="Haitham H." last="Khalil">Haitham H. Khalil</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="El Ghoneimy, Ahmed" sort="El Ghoneimy, Ahmed" uniqKey="El Ghoneimy A" first="Ahmed" last="El-Ghoneimy">Ahmed El-Ghoneimy</name><affiliation wicri:level="1"><nlm:aff id="I3">Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559</wicri:regionArea><wicri:noRegion>Cairo 11559</wicri:noRegion></affiliation></author><author><name sortKey="Farid, Yasser" sort="Farid, Yasser" uniqKey="Farid Y" first="Yasser" last="Farid">Yasser Farid</name><affiliation wicri:level="1"><nlm:aff id="I3">Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559</wicri:regionArea><wicri:noRegion>Cairo 11559</wicri:noRegion></affiliation></author><author><name sortKey="Ebeid, Walid" sort="Ebeid, Walid" uniqKey="Ebeid W" first="Walid" last="Ebeid">Walid Ebeid</name><affiliation wicri:level="1"><nlm:aff id="I3">Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Center of Preservation and Musculoskeletal Tissue Transfer, Cairo University Teaching Hospital, Kasr Al Ainy, Cairo University, Cairo 11559</wicri:regionArea><wicri:noRegion>Cairo 11559</wicri:noRegion></affiliation></author><author><name sortKey="Afifi, Ahmed" sort="Afifi, Ahmed" uniqKey="Afifi A" first="Ahmed" last="Afifi">Ahmed Afifi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Elaffandi, Ahmed" sort="Elaffandi, Ahmed" uniqKey="Elaffandi A" first="Ahmed" last="Elaffandi">Ahmed Elaffandi</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Surgery, Royal Free Hospital, London NW3 2PN, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Surgery, Royal Free Hospital, London NW3 2PN</wicri:regionArea><wicri:noRegion>London NW3 2PN</wicri:noRegion></affiliation></author><author><name sortKey="Mahboub, Tarek" sort="Mahboub, Tarek" uniqKey="Mahboub T" first="Tarek" last="Mahboub">Tarek Mahboub</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Plastic and Reconstructive Surgery, Cairo University Teaching Hospital, Cairo University, Kasr Al Ainy, Cairo 11559, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Cairo University Teaching Hospital, Cairo University, Kasr Al Ainy, Cairo 11559</wicri:regionArea><wicri:noRegion>Cairo 11559</wicri:noRegion></affiliation></author></analytic><series><title level="j">Sarcoma</title><idno type="ISSN">1357-714X</idno><idno type="eISSN">1369-1643</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Introduction and aim</italic>. Management of complicated wounds after tumor extipiration of pelvic and proximal lower limb musculoskeletal sarcoma represents an essential component in the outcome of these patients. The authors present modified vertical rectus abdominis musculocutaneous (VRAM) flap techniques to reconstruct extensive defects after debridment of these complicated wounds. <italic>Material and Methods</italic>. Over a period of 4 years (2002–2005), 5 men and 2 women were managed. Median age was 21 years (range 15–49). The patients were managed for complicated lower trunk, groin, and upper thigh wounds after resection of three pelvic chondrosarcomas as well as two pelvic and two proximal femur osteosarcomas. The modifications included a VRAM flap with lateral and tongue-like extension design of the skin paddle (5 cases) or a delayed extended VRAM flap (2 cases). <italic>Results</italic>. All flaps showed complete survival and healing with no ischemic events providing stable coverage. All patients were ambulant with good limb functions in terms of walking and gait after adequate rehabilitation, 2 needed support with crutches. <italic>Conclusion</italic>. The modified VRAM flaps offer reliable reconstructive tools for coverage of complex groin and thigh defects by providing larger well-vascularized soft tissue with acceptable donor site.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wallace, Rd" uniqKey="Wallace R">RD Wallace</name></author><author><name sortKey="Davoudi, Mm" uniqKey="Davoudi M">MM Davoudi</name></author><author><name sortKey="Neal, Md" uniqKey="Neal M">MD Neal</name></author><author><name sortKey="Lachica, Rd" uniqKey="Lachica R">RD Lachica</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Senchenkov, A" uniqKey="Senchenkov A">A Senchenkov</name></author><author><name sortKey="Thomford, Nr" uniqKey="Thomford N">NR Thomford</name></author><author><name sortKey="Barone, Fe" uniqKey="Barone F">FE Barone</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosen, G" uniqKey="Rosen G">G 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