Plastic Surgery Research Council
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PSRC 60th Annual Meeting

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Hernia Repair With Coriumflap? - Vascularized!
Barbara Iris Gruber, B. Todoroff
(Vienna, Austria)

INTRODUCTION: Over the last decades the free avascular corium patch was considered a useful solution for hernia repair. It vanished into oblivion for two reasons:

Firstly over the last years industry supplies better and better solutions with absorbable and non-absorbable meshes, up to recently disposable avascular xenogeneic dermal matrix.

Secondly the donor site (often situated on the thigh) causes mechanical and cosmetic problems.

Thus we had the idea to use a vascularised corium flap in selected cases in order to get a solid abdominal wall reconstruction for abdominal defects. This method can be used successfully if it came up to loss of fascia and muscle and yet sufficient flubby skin surplus near the defect.

METHODS: We successfully applied this method on four of our patients and submitted them to postoperative monitoring.

RESULTS: We annually operate from 150 to 200 patients with recurrent abdominal wall hernias in our hospital. Between March 2011 and September 2012 we got four possibilities to apply the before mentioned vascularised corium flap. All patients had previously undergone multiple laparotomies and mesh implants followed by mesh infections inducing the necessity of mesh explantation. Patients were aged from 35 to 82 years (mean 58 years), one female and three male. All of them resulted recurrence-free within a postoperative monitoring period of more than six months.

CONCLUSIONS: We consider the corium flap an economic solution practicable with basic surgical instruments. Anyway this method should be applied only in selected cases.

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