Epigastric and Rectus Abdominis Flap

- Discussion:
    - inferior epigastric pedicle is long (8 to 10 cm) and reliable;
    - muscle width of 8 to 10 cm is limited, and the skin paddle is long & bulky when compared to the Latissimus Dorsi;
    - rectus abdominis muscle can be harvested thru either a transverse or paramedian approach;
    - muscle is divided superiorly and reflected inferiorly along plane of posterior rectus fascia;
    - peritoneal perforator in the periumbilical region should be identified and ligated before division;
    - major pedicle is found by reflecting the anterior rectus fascia laterally, & by reflecting anterior rectus fascia laterally, & by skeletonizing the vessels in caudal fashion to external iliac artery and veins

The extended deep inferior epigastric pedicle flap for lower extremity reconstruction.

The deep inferior epigastric artery free skin flap: anatomic study and clinical application.

The rectus abdominis free flap for lower extremity reconstruction.

The Segmental Rectus Abdominis Free Flap for Ankle and Foot Reconstruction.

Surgical Management of Sportsman’s Hernia in Professional Soccer Players

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, September 21, 2012 10:09 am