T-INVERTED SHAPED RECTUS ABDOMINIS MYOCUTANEOUS (TI-RAM) FLAP FOR CHEST WALL RECONSTRUCTION
Benedetto Longo, Gennaro D’Orsi, Angelica Pistoia, Elettra Gagliano, Lisa Vannucchi, Gianluca Natali, Vincenzo Ambrogi, Valerio Cervelli
Abstract
We present a case report of a 46-year-old man with a chest wall mass suspected for sarcoma who underwent wide surgical resection and reconstruction. The patient was treated with a large mass chest wall resection followed by a reconstruction using the myocutaneous rectus abdominis flap with a T-inverted shape skin paddle (Ti-RAM flap). This original flap design allowed us to cover a large chest wall defect due to a very extensive oncological resection while achieving an easier closure of the abdominal donor area.
Topics & Concepts
MedicineAbdominal wallSurgeryResectionRectus abdominis muscleAnterior wallPosterior wallReconstructive Surgery and Microvascular TechniquesSoft tissue tumor case studiesSurgical site infection prevention