Over a 2-year period, 25 patients underwent a combined procedure of rectus abdominis muscle harvest with a miniabdominoplasty. In these patients, the dermolipectomy tissue was used as a spare part for split-thickness skin grafting. A single operator harvested the skin graft with a Paget dermatome or Weck blade using the described technique. The average quantity of tissue harvested was 150 cm2 (range, 100 to 250 cm2). Twenty-three of 25 patients (92 percent) did not require additional grafting. The remaining two patients required less than 50 cm2 of additional split-thickness skin graft.
The benefits of this technique are multiple. For the surgeon, the technique is simple to perform and the result is reliable. It requires no specialized equipment other than what would be used in standard skin graft harvest. A single operator without skilled assistance can accomplish it. The patient is spared the morbidity of a skin graft donor site entirely, or benefits from a smaller donor site. A thicker, more durable skin graft may be harvested from the spare part without further consequence to the patient. In addition, the patient receives the welcome dividend of an improved abdominal contour.
Darrell Brooks, M.D.
Sendia Kim, M.D.
Rudolf F. Buntic, M.D.
San Francisco, Calif.
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5.Brooks D, Buntic RF. An aesthetic perquisite of rectus muscle transplantation in extremity reconstruction. Ann Plast Surg.
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