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DOI: 10.1055/s-0045-1808096
A Game Changing, One of Its Kind Flap: The Boomerang-Shaped Extended Rectus Abdominis Myocutaneous Flap with Latissimus Dorsi Myocutaneous Flap
Funding None.
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.
Keywords
soft tissue reconstruction of extremities - longest free flap - boomerang-shaped extended rectus abdominis myocutaneous flapNote
This study was presented at APSICON 2024, held in Delhi from 10th to 14th September, and is also scheduled for presentation at KAPRASCON 2025, taking place from 7th to 9th February.
Authors' Contributions
S.V., A.Y.N., and M.S. conceptualized the paper. A.M. did the graphics for the article and wrote the article. P.S., S.B., C.Y., and A.Y. helped with photography and follow-up data collection. All eight authors have read and approved the final manuscript.
Ethical Approval
The Ethics Committee has no Objection in publishing the Case Report in the Indian Journal of Plastic Surgery (IJPS).The Ethics Committee of Manipal Hospitals, Bangalore is organized and operates in accordance with the New Drugs and Clinical Trial Rules, 2019.
Patients#x0027; Consent
Written informed consent was obtained from the patient(s) for publication of this case report and any accompanying images.
Publication History
Article published online:
08 August 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
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