We present a case of breast reconstruction using bilaterally divided transverse rectus abdominis musculocutaneous flaps after the removal of severe siliconoma. In Japan, we have examined many patients who have had foreign substance injected into the breasts for augmentation. Most of these patients have had delayed complications. We believe that autologous tissue transfer is an ideal procedure f...

1. Blondeel PN, Demuynck M, Mete D et al. Sensory nerve repair in perforator Xaps for autologous breast reconstruction: sensational or senseless? (1999) Br J Plast Surg 52:37–44 2. Mori H, Akira K, Hata Y. Anatomical study of innervated transverse rectus abdominis musculocutaneous and deep inferior epigastric perforators flaps. Surg Radiol Anat (2007). 29:149–154 3. Yap LH, Whiten SC, Forster A...

BACKGROUND/AIM Today, breast reconstruction is a widely accepted method in the treatment of breast cancer after modified radical mastectomy. Reconstruction methods are associated with an acceptable number of complications and reconstruction favourably impacts quality of life. The aim of the study was to present our experience in breast reconstruction. METHODS We presented here a four-year exp...

•The VRAM flap is commonly used for perineal and vaginal reconstruction at the time of pelvic exenteration.•Prolapse of the VRAM flap may be under reported.•We have shown successful repair of VRAM flap prolapse via an obliterative technique and sacral suspension.

Urologists often encounter large perineal and abdominal wall defects, the treatment of which may require close collaboration with the plastic surgeon. These complex defects can be successfully treated using a variety of techniques. Ventral hernias or freshly created abdominal wall defects can be treated with the basic principles of tension-free closure using abdominal wall components separation...

OBJECTIVE To describe a new surgical technique for the treatment dehiscence after median thoracotomy transsternal using fasciocutaneous flap composed of the pectoralis major fascia. METHODS Between January 2009 and December 2010, from 1,573 patients submitted to coronary artery bypass graft, 21 developed wound dehiscence after sternotomy and were treated with bilateral pectoralis major muscle...

OBJECTIVES To evaluate the role of radical surgical debridement and excision with a vertical rectus abdominis myocutaneous (VRAM) flap reconstruction in patients with advanced penile cancer and subcutaneous metastatic disease, as the quality of life in such patients is extremely poor, multimodal treatments often fail and the outlook for the patient is limited with the development of uncontrolla...

Conflict of interest: none. ABSTRACT Objective: To describe a new surgical technique for the treatment dehiscence after median thoracotomy transsternal using fasciocutaneous flap composed of the pectoralis major fascia. Methods: Between January 2009 and December 2010, from 1,573 patients submitted to coronary artery bypass graft, 21 developed wound dehiscence after sternotomy and were treated w...