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Applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery—a review of their utility and efficacy

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A Correction to this article was published on 08 March 2021

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Abstract

Background and purpose

Despite their ubiquitous presence, easy availability and diverse possibilities, falciform ligament and hepatic round ligament have been used less frequently than their potential dictates. This article aims to comprehensively review the applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery and assess their utility and efficacy.

Methods

Medical literature/indexing databases were searched, using internet search engines, for pertinent articles and analysed.

Results

The studied flap and graft have found utility predominantly in the management of diaphragmatic hernias, gastro-oesophageal reflux disease, peptic perforations, biliary reconstruction, venous reconstruction, post-operative pancreatic fistula, post-pancreatectomy haemorrhage, hepatic cyst cavity obliteration, liver bleed, sternal dehiscence, splenectomy, reinforcement of aortic stump, feeding access, diagnostic/therapeutic access into portal system, composite tissue allo-transplant and ventriculo-peritoneal shunting where they have exhibited the desired efficacy.

Conclusions

Hepatic round ligament/falciform ligament flap and graft are versatile and have multifarious applications in abdominal surgery with some novel and unique uses in hepatopancreaticobiliary surgery including liver transplantation. Their evident efficacy needs wider adoption to realise their true potential.

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Data availability

Articles used for the review were obtained from the internet.

Change history

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Authors and Affiliations

  1. Department of Gastro-intestinal Surgery, MIOT Hospital, Chennai, India

    Vasudevan Baskaran

  2. Department of Gastro-intestinal Surgery, Bharati Vidyapeeth Medical College, Pune, India

    Jayant Kumar Banerjee

  3. Department of Gastro-intestinal Surgery, Command Hospital (Eastern Command), Kolkata, India

    Sita Ram Ghosh

  4. Department of Gastro-intestinal Surgery, Command Hospital (Central Command), Lucknow, Uttar Pradesh, 226002, India

    Sukumar Santosh Kumar & Ramanathan Saranga Bharathi

  5. Department of Surgery, Armed Forces Medical College, Pune, India

    Subramaniam Anand & Deep Shikha Mishra

  6. Department of Plastic & Reconstructive Surgery, Command Hospital (Central Command), Lucknow, India

    Govind Menon

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Baskaran, V., Banerjee, J.K., Ghosh, S.R. et al. Applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery—a review of their utility and efficacy. Langenbecks Arch Surg 406, 1249–1281 (2021). https://doi.org/10.1007/s00423-020-02031-6

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