A novel method of minimally invasive rectus abdominis muscle flap harvest: Laparoscopic surgeons take note

A novel method of minimally invasive rectus abdominis muscle flap harvest: Laparoscopic surgeons take note

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The rectus abdominis muscle (RAM) is a workhorse flap to fill or repair abdominal defects.A drawback of an open RAM harvest is donor site morbidity, and minimally invasive Cyclist Accessories - Clothing - Bottoms techniques for flap harvesting have been previously proposed but involve vertical division of the rectus fascia.We present a case of a 52-year-old woman with a recurrent rectovaginal fistula in a radiated field treated with a laparoscopic low anterior resection with simultaneous RAM flap Foot Cream harvest utilising a single Pfannenstiel incision.Our novel modified laparoscopic-assisted RAM harvest technique prevents longitudinal violation of the anterior and posterior rectus sheaths, thereby promoting a quick recovery, improved cosmesis and decreased post-operative morbidity.