To establish more accurate equations for estimating the moment arm length and cross-sectional area of the erector spinae and rectus abdominis muscles, the effects of height, weight and age on those muscles were analyzed by using a high-order polynomial equation. Data on the moment arm length and cross-sectional area at L3/4 were obtained from MRI images of 152 males and 98 females. The statisti...

Over the past 30 years, surgical methods for breast reconstruction have evolved and numerous studies have been conducted with the aim of improving aesthetic goals. However, risk factors such as smoking, diabetes, huge breast increase the postoperative complication that causes unsatisfactory result to both surgeon and patient [1,2]. Obesity (body mass index [BMI] ≥30 kg/m), one of the main risk ...

1 Koichi Tomita, MD, PhD Megumi Yokoi-Fukai, MD Takayoshi Ishihara, MD Kosuke Morita, MD Ko Hosokawa, MD, PhD Department of Plastic and Reconstructive Surgery Graduate School of Medicine Osaka University Osaka, Japan Sir: R of large defects in the gluteal region remains challenging. Although regional flaps (eg, anterolateral thigh flap) or myocutaneous flaps (eg, tensor fasciae latae) are optio...

BACKGROUND Abdominal wall free flaps are used most frequently in autologous breast reconstruction, and these flaps require intact and robust deep inferior epigastric perforator (DIEP) vessels. Pfannenstiel incisions are often present during preoperative visits for breast reconstruction and could potentially signal compromised blood supply to the lower abdominal wall. In this study, we compared ...

BACKGROUND There are national trends of increasing incidence of morbid obesity and autologous breast reconstruction with free tissue transfer from the abdomen. The purpose of this study was to assess the safety and efficacy of free flap breast reconstruction in the morbidly obese population. METHODS A retrospective review was conducted on all patients who underwent transverse rectus abdominis...

Breast cancer is a common cancer among women. The transverse rectus abdominis myocutaneous (TRAM) flap is a popular option because not only does it provide a breast with satisfactory bulk composed of autogenous tissue but it also provides an abdominal dermolipectomy to the patient. Fat necrosis remains a common problem following TRAM flap reconstruction, occurring in 10% to 36% of patients unde...

BACKGROUND The goal of this study was to evaluate patient satisfaction with four common types of breast reconstruction performed at our institution: latissimus dorsi myocutaneous (LDM) flap reconstruction with or without implants, pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction, and free deep inferior epigastric perforator (DIEP) flap reconstruction. METHODS A...

A full-thickness chest wall resection requires subsequent chest wall reconstruction. A chest wall resection and reconstruction was performed using a transverse rectus abdominis myocutaneous (TRAM) flap, together with polypropylene mesh (Marlex mesh) and stainless steel mesh (SSM). A 71-year-old man was diagnosed as having recurrent lung cancer in the chest wall, and underwent surgical resection...

Large defects after skin malignant tumors resection were difficult to repair. We introduced a partition concept, in which the large defects were divided into several subunits, and each subunit was repaired by a certain pedicled flap to achieve a complete coverage.Between May 2012 and Oct 2016, 8 patients with skin malignant tumors underwent radical resection. Prior to surgery, the dimension of ...