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Anterior Abdominal Wall Defect Closed by the Anterior Sheath of the Upper Rectus Abdominis Muscle in a Patient with Prior “TRAM Flap Breast Reconstruction”

  • Surgical Techniques and Innovations
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Abstract

Patients with breast cancer (BC) after radical mastectomy require personalized surgical plans for breast reconstruction to enhance quality of life (QoL) and self-esteem. This case report summarizes our clinical experience in successful transposition of the upper rectus abdominis anterior sheath to correct donor site defect following transverse rectus abdominis muscle (TRAM) flap mobilization. Anterior abdominal wall defect following TRAM flap mobilization was repaired with autologous tissue of superior abdominal anterior sheath without the usage of artificial material for defect closure. Abdominal donor site healed well without complications such as abdominal bulging, weakness, herniation, or navel necrosis even after at 6 months follow-up. This approach could be a new method of safe surgical intervention with satisfactory overall post-operative results.

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Author notes

  1. Kuo Chen and Narasimha M. Beeraka contributed equally to this work.

Authors and Affiliations

  1. Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, People’s Republic of China

    Kuo Chen, Jingruo Li & Pengwei Lu

  2. I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia

    Kuo Chen & Narasimha M. Beeraka

  3. Center of Excellence in Molecular Biology and Regenerative Medicine (CEMR), Department of Biochemistry, JSS Academy of Higher Education and Research (JSS AHER), Mysuru, Karnataka, India

    Narasimha M. Beeraka

Authors
  1. Kuo Chen
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  2. Narasimha M. Beeraka
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  3. Jingruo Li
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  4. Pengwei Lu
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Corresponding authors

Correspondence to Kuo Chen or Pengwei Lu.

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This study was approved by the IEC of First Affiliated Hospital of Zhengzhou University.

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The authors declare no competing interests.

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Chen, K., Beeraka, N.M., Li, J. et al. Anterior Abdominal Wall Defect Closed by the Anterior Sheath of the Upper Rectus Abdominis Muscle in a Patient with Prior “TRAM Flap Breast Reconstruction”. Indian J Surg 84 (Suppl 3), 789–791 (2022). https://doi.org/10.1007/s12262-021-02908-w

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  • DOI: https://doi.org/10.1007/s12262-021-02908-w

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