Alberto Pérez-García, Elena García-Vilariño, Álvaro García-Granero, Miriam Alonso-Carpio, Alberto Sánchez-García, Alfonso Valverde-Navarro, Eduardo García-Granero
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引用次数: 1
摘要
应用扩展垂直腹直肌肌皮瓣(eVRAM)重建盆腔会阴大面积缺损，弥补了传统腹直肌肌皮瓣的不足。为了比较VRAM和eVRAM皮瓣的尺寸，进行了解剖学研究。在10具新鲜成人尸体上解剖10个VRAM皮瓣和10个eVRAM皮瓣。测量皮瓣的长度、宽度和体积。eVRAM皮瓣的长度和体积明显大于VRAM皮瓣(36.55 cm vs. 30.15 cm, p= 0.005;315.5 vs. 244 mL, p=。012年,分别)。皮瓣宽度无明显差异。当需要更大的组织、更大的皮肤瓣和/或更长的旋转弓进行重建时，eVRAM皮瓣可能是比传统的VRAM更好的选择。
Comparison of vertical and extended vertical rectus abdominis myocutaneous flaps. An anatomical study.
The extended vertical rectus abdominis myocutaneous (eVRAM) flap has been proposed for reconstruction of large pelviperineal defects where traditional VRAM flap could be insufficient. To compare the dimensions of VRAM and eVRAM flaps an anatomical study was performed. Ten VRAM and ten eVRAM flaps were dissected in ten fresh adult cadavers. Length, width and volume of all the flaps were measured. Length and volume were significantly larger in eVRAM flap compared to VRAM flap (36.55 cm vs. 30.15, p=.005; and 315.5 vs. 244 mL, p=.012, respectively). No differences were observed in flap width. The eVRAM flap could be a better option than traditional VRAM for reconstruction of big pelviperineal defects when bulkier tissue, larger skin paddle and/or longer arch of rotation are needed for reconstruction.
期刊介绍：
The purpose of the Journal of Plastic Surgery and Hand Surgery is to serve as an international forum for plastic surgery, hand surgery and related research. Interest is focused on original articles on basic research and clinical evaluation.
The scope of the journal comprises:
• Articles concerning operative methods and follow-up studies
• Research articles on subjects related to plastic and hand surgery
• Articles on cranio-maxillofacial surgery, including cleft lip and palate surgery.
Extended issues are published occasionally, dealing with special topics such as microvascular surgery, craniofacial surgery, or burns. Supplements, usually doctoral theses, may also be published.
The journal is published for the Acta Chirurgica Scandinavica society and sponsored by the Key Foundation, Sweden.
The journal was previously published as Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery.
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