Abstract: 16.50 Long-Term Outcomes Of Abdominal Wall Reconstruction With Acellular Dermal Matrix

INTROduCTION: Historically the use of the SIEA flap is limited by a short pedicle with a smalldiameter artery. The use of the SIEA flap was proven less reliable when the SIEA diameter was less than 1.5mm at the level of the lower abdominal incision with an increase in arterial thrombotic complications. Although favorable results have been published with the use of small caliber vessels as well. Technical tips to increase the successful use of this flap have been described, however, the vessel mismatch with the internal mammary vessels remains an important consideration. The author introduces the application of the Wowmanoeuvre as an answer to both the small diameter and the vessel discrepancy issues related to SIEA flap transfer.