Document Detail


Successful twin pregnancy and delivery following free rectus abdominis muscle flap at 15 weeks gestational age.
MedLine Citation:
PMID:  9427929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although a vertical rectus abdominis flap would not have been selected for reconstruction of the patient's defect had her pregnancy been detected preoperatively, the present case does demonstrate the remarkable resiliency and integrity of the anterior abdominal wall after rectus abdominis muscle flap surgery. Meticulous closure of the abdominal wall is of utmost importance in maintaining abdominal wall competence. Although the merits of muscle splitting techniques and the use of mesh are beyond the scope of this report, there is no evidence that modification of technique should be performed in the patient considering future pregnancy. Our case supports other reports that rectus abdominis flap surgery is not a contraindication to future pregnancy. Intuitively waiting at least 1 year, as recommended by Chen et al., seems reasonable, although the present case demonstrated a successful pregnancy and delivery of twins after a vertical rectus abdominis flap was harvested during pregnancy.
Authors:
P J Johnson; M L Bentz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  101     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-01-29     Completed Date:  1998-01-29     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  155-6     Citation Subset:  AIM; IM    
Affiliation:
Division of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pa., USA.
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MeSH Terms
Descriptor/Qualifier:
Abdomen
Adult
Fatal Outcome
Female
Humans
Maxillary Neoplasms / surgery*
Neoplasm Recurrence, Local*
Orbit Evisceration
Orbital Neoplasms / surgery
Osteosarcoma / surgery*
Pregnancy
Pregnancy Complications, Neoplastic*
Pregnancy Outcome*
Pregnancy, Multiple*
Skull Neoplasms / surgery
Surgical Flaps*
Twins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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