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The TRAM dam design: a new method for treatment of an enterocele

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Abstract

A new method for the treatment of an enterocele is described and illustrated with a case report. In a patient with Ehlers Danlos syndrome, a pedicled muscle sparing transverse rectus abdominis myocutaneous flap was used to fill the pelvic inlet and rectovaginal space. The flap prevents descend of bowel into the pelvic inlet and rectovaginal space. The patient’s defecation problems and pelvic discomfort were resolved. The technique does not require the use of a synthetic mesh and causes little donor site morbidity.

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Conflict of interest

The authors declare that no conflict of interest exists.

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Authors and Affiliations

  1. Department of Plastic Surgery and Hand Surgery, University Hospital North Norway, Tromsø, Norway

    L. de Weerd

  2. Department of Gastro-enterologic Surgery, University Hospital North Norway, Tromsø, Norway

    J. Kjæve

  3. Department of Radiology, University Hospital North Norway, Tromsø, Norway

    S. Weum

Authors
  1. L. de Weerd
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  2. J. Kjæve
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  3. S. Weum
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Correspondence to L. de Weerd.

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de Weerd, L., Kjæve, J. & Weum, S. The TRAM dam design: a new method for treatment of an enterocele. Tech Coloproctol 16, 157–160 (2012). https://doi.org/10.1007/s10151-011-0791-4

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  • DOI: https://doi.org/10.1007/s10151-011-0791-4

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