A Game Changing, One of Its Kind Flap: The Boomerang-Shaped Extended Rectus Abdominis Myocutaneous Flap with Latissimus Dorsi Myocutaneous Flap
Year: 2025
Type: article
Abstract: Reconstruction of extensive limb defects is particularly difficult when standard flaps like the anterolateral thigh flap, latissimus dorsi (LD) flap, or the less popular large flap, boomerang-shaped extended rectus abdominis (BERAM) flap, are insufficient to cover the extensiveness of the raw area, even after extending with vein grafts. The BERAM and LD myocutaneous flap combines two flap areas into a single tissue unit, offering a novel solution to the issue. Interposition vein grafts help extending the reach further and avoids the anastomosis in a probable zone of injury area. In our experience, it gives the largest possible tissue for coverage compared to any two separate free flaps especially in children with a good caliber, reliable pedicle.
Authors: Srikanth Vasudevan, Ananteshwar Y. N., Mayur Shetty, Annika Marwah, Pooja Shetty, Serena B., Aashita Yande, Chinmay Tewari
Institution: Manipal Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413123076