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dc.contributor.authorKiptoon, Dan
dc.contributor.authorNangole, Ferdinand W
dc.date.accessioned2021-10-04T06:22:22Z
dc.date.available2021-10-04T06:22:22Z
dc.date.issued2020
dc.identifier.citationWanjala NF, Dan K. Local/regional flaps for extensive abdominal wall defects: Case series. Int J Surg Case Rep. 2020;74:10-14. doi:10.1016/j.ijscr.2020.07.034.en_US
dc.identifier.urihttp://erepository.uonbi.ac.ke/handle/11295/155583 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7403880/
dc.description.abstractINTRODUCTION Extensive abdominal wall defects requiring reconstruction with flaps are best done with free flaps. However, free flaps are not readily available in many countries. Free flaps are associated with long operative hours, technically demanding and are prone to complications. However, local or regional flaps are a better option in managing such defects especially in resource-limited settings. OBJECTIVE This was a prospective study to determine the outcome of patients with extensive abdominal defects managed with local or regional flaps. RESULTS A total of fifteen patients with extensive abdominal wall defects were reconstructed with local/regional flaps. Ten of these patients were managed with pedicle anterior lateral thigh flaps with two tensor fascia lata flap and three para-umbilical abdominal flaps. The defect ranged from 90 to 300 cm2 in size. All the flaps were successful, with only one patient experiencing flap dehiscence in a wound that had sepsis. Donor site wounds in one patient had partial skin graft failure necessitating regular dressing and repeat grafting later. CONCLUSION Local/regional flaps are reliable, good options for the management of majority of the anterior abdominal wall defects, as they are less demanding, do not require long operative hours and are easy to monitor post operatively. They should be considered in most reconstructive needs of the abdominal wall.en_US
dc.language.isoenen_US
dc.publisherUniversity of Nairobien_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectAbdominal wall, Reconstruction, Local/regional flaps.en_US
dc.titleLocal/regional flaps for extensive abdominal wall defects: Case series.en_US
dc.typeArticleen_US


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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 United States