P59: Salvage of Difficult Chest Wall and Epigastric Defects Using the Intercostal Artery Perforator Flap

摘要

Primary closure of chest and epigastric defects can create quite a challenge for the reconstructive surgeon. Pectoralis major, rectus abdominis, and latissimus dorsi muscle and musculocutaneous flaps and omentum have most commonly been employed for reconstruction of defects in these areas. When these flaps fail, the surgeon is left with few options before resorting to free tissue transfer. Intercostal artery perforator island flaps have been previously described in the literature, mostly for reconstruction of inferior pole breast defects or upper back defects. These flaps are not commonly used for reconstruction of anterior midline torso defects.