Akademik Veri Yönetim Sistemi
XIII. Congress of the World Society for Reconstructive Microsurgery, Barcelona, İspanya, 23 - 26 Nisan 2025, ss.1, (Tam Metin Bildiri)
Background
Although sharing the similar origin from the aorta as with the intercostal artery perforator flaps, there is very limited data on subcostal artery and its perforator flap in the current literature. However, subcostal artery perforator flap is a versatile option with large flap size and stable anatomy. The aim of this study is to expand the potential uses of subcostal artery perforator flap in reconstruction of abdominal wall and diaphragmatic defects.
Methods
Total of 5 patients operated on between 2020-2024 with various defect etiologies and reconstructed with subcostal artery perforator flaps were included in this study. Patient
demographics and surgical details were recorded including flap size, pedicle length, inset characteristics and use of supportive materials. Clinical and radiological follow-up was performed for recurrence of hernia and/or abdominal wall weakness.
Results
All flaps survived without complication. Three of the patients were required abdominal wall reconstruction while the remaining two were required diaphragmatic reconstruction. Polypropylene mesh was used for two of the abdominal reconstructions and one of the diaphragmatic cases. Average follow up is 18 months. There was no recurrence of hernia or abdominal wall bulging in any patient in long term.
Conclusion
Despite the limited data in the literature, the subcostal artery perforator flap has the potential to be used in a wide variety of indications for abdominal wall and diaphragmatic reconstruction with stable and constant anatomy for suitable cases.