caa a22 4500 463210646 CHVBK 20180405153139.0 cr unu---uuuuu 170326e20071101xx s 000 0 eng 10.1007/s00238-007-0155-5 doi (NATIONALLICENCE)springer-10.1007/s00238-007-0155-5 Pedicled superior epigastric perforator flap for reconstruction of a soft tissue defect at the ventral thoracic wall [Elektronische Daten] [S. Deiler, R. Zulkowski, O. Muensterer, J. Widmann, K. Kanz, W. Stock] The purpose of this paper is to present a new method of ventral chest wall reconstruction utilizing skin and fat from the abdominal wall pedicled on the superior epigastric artery and its comitant veins without sacrificing the rectus abdominis muscle. In a patient with a 13 × 15cm left parasternal soft tissue defect of the thoracic wall, a paraumbilical perforator flap of skin and subcutaneous tissue was elevated with meticulous preparation of the perforators to the right superior epigastric vessels without sacrificing any muscle. The skin and fat island with its vascular pedicle was drawn through an epigastric subcutaneous tunnel to the ventral thorax and placed into the defect. Postoperative flap perfusion measured by laser Doppler flowmetry was excellent, abdominal wall reconstruction was easy, and 3months after operation, the ability to perform sit-ups was as good as before the operation. In two further patients, we found the vascular anatomy to be unsuitable for this flap. The pedicled superior epigastric perforator (SEP) flap is suitable in certain cases but unreliable for reconstruction of soft tissue defects at the chest wall. Further investigations and operating experience may provide additional knowledge to allow wider and more secure use of the SEP flap. Springer-Verlag, 2007 Perforator flap nationallicence Soft tissue defect nationallicence Ventral thoracic wall nationallicence Surgical reconstruction nationallicence Deiler S. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut Zulkowski R. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut Muensterer O. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut Widmann J. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut Kanz K. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut Stock W. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut European Journal of Plastic Surgery Springer-Verlag 30/3(2007-11-01), 141-146 0930-343X 30:3<141 2007 30 238 https://doi.org/10.1007/s00238-007-0155-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00238-007-0155-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Deiler S. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut NATIONALLICENCE 700 1- Zulkowski R. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut NATIONALLICENCE 700 1- Muensterer O. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut NATIONALLICENCE 700 1- Widmann J. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut NATIONALLICENCE 700 1- Kanz K. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut NATIONALLICENCE 700 1- Stock W. Division of Plastic Surgery and Hand Surgery, Department of Surgery, Faculty of Medicine, Ludwig-Maximilians-University of Munich, Nußbaumstrasse 20, 80336, Munich, Germany aut NATIONALLICENCE 773 0- European Journal of Plastic Surgery Springer-Verlag 30/3(2007-11-01), 141-146 0930-343X 30:3<141 2007 30 238 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer