Reconstruction of a large defect of the female chest following keloid excision with use of the rectus abdominis myocutaneous flap

Abstract

Aim: This study aimed to investigate the efficacy of the myocutaneous flap of the rectus abdominis in the surgical treatment of a large defect on the female chest following keloid excision.

Methods: According to the location and size of the keloid on the chest, a myocutaneous flap based on the left or right rectus abdominis muscle was designed and transferred for repair of a chest defect following keloid resection. Radiotherapy was performed in the surgical area on the first and seventh postoperative days.

Results: From January 2015 to March 2016, rectus abdominis myocutaneous flap coverage and early radiotherapy were used to treat 7 cases of keloids on the female chest. A postoperative follow-up of 10-14 months (average 12 months) was conducted. All the flaps survived well without evidence of keloid recurrence, and all patients achieved an improved chest shape.

Conclusion: The rectus abdominis myocutaneous flap is a viablemethod for wound closure following resection of large keloids on the female chest.

Keywords

Keloid / rectus abdominis myocutaneous flap / radiotherapy

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