Versalite usage rectus abdominis flaps

Objective: In this study, rectus abdominis muscle and myocutaneus flaps which were applied in our clinic are evaluated.
Study design: Rectus abdominis muscle and myocutaneus flaps which were applied on 22 patients between 1990-2000 are evaluated.
Results: The mean age of the 12 female and 10 male patients was 40. Main etiologies were tumor resection, trauma, infection and congenital anomalies. Reconstructed sites were head and neck, genital area, breasts and lower extremity. Anterior rectus sheet was primarily repaired in all cases. Partial flap necrosis and abdominal hernia were noticed in one patient and we saw fat necrosis in one patient.
Conclusions: Rectus abdominis muscle and myocutaneous flaps are frequently used for the reconstruction of many anatomic regions in patients with wide tissue defects. These easily prepared flaps have a long and reliable pedicle and low donor area morbidity.

Rektus abdominis flebinin çok yönlü kullanýmý

Amaç: Bu çalýþmada, kliniðimizde uygulanmýþ olan rektýýs abdonýinis kas ve kas deri flepleri deðerlendirildi.
Gereç ve Yöntem: 1990-2000 yýllarý arasýnda 22 hastaya yapýlmýþ olan rektus abdominis kas ve kas-deri flepleri retrospektif olarak deðerlendirildi.
Bulgular: I2’si bayan, 10’ýý erkek olan hastalarýn yaþ ortalamsý 40‘tý. Baþlýca ityolojik faktörler tümör rezeksiyonu, travma, enfeksiyon ve konjenital anomalilerdi. Rekonstrüksiyon alanlarý baþ-boyun, geýýital bölge, mem ve alt ekstremdeydi.Tüm olgularda anterior kýlýfý primer onarýldý. 22 hastadan I’inde kýsmi flep nekrozu ve doýýör sahada lýerýýiasyon, I‘inde flepte yað nekrozu geliþti.
Sonuç: Rektus abdominis flebinin baþarý oranýnýn yüksek olmasý, cerrahi disseksiyotýunun kolay olmasý, flep ve donör saha morbiditesininin düþük olmasý nedeniyle birçok anatomik bölgede hem kas hem deri komponentiyle orta ve geniþ büyüklükteki defektlerin rekonstruksiyonýmda önerilebilir.