Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2017  |  Volume : 22  |  Issue : 1  |  Page : 43--45

Extensive chest wall tissue loss and its management by vertical rectus abdominis myocutaneous flap


Sandip Kanti Basu1, Jayanta Bain1, Debarati Chattopadhyay2, Bijay Kumar Majumdar1 
1 Department of Plastic Surgery, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
2 Department of Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Correspondence Address:
Jayanta Bain
Department of Plastic Surgery, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal
India

Extensive electric burn around the chest in children is rare and this type of injury always poses a great challenge for its management. A 12-year-old male child with extensive electric burn of the chest wall was admitted to hospital. It was a neglected case of 9 days old burn; the young boy was in critical condition having systemic features of toxemia with widespread necrosis of the skin, subcutaneous tissues, and muscles along with exposed bones (ribs and sternum) with the risk of impending rupture of pleura through the exposed intercostal spaces. After initial resuscitation, a thorough debridement of all necrotic tissues was done. Thereafter, a superiorly based vertical rectus abdominis myocutaneous flap was harvested to cover the exposed bones and intercostal spaces. The remaining raw areas were skin grafted. The child made an excellent recovery with good outcome.


How to cite this article:
Basu SK, Bain J, Chattopadhyay D, Majumdar BK. Extensive chest wall tissue loss and its management by vertical rectus abdominis myocutaneous flap.J Indian Assoc Pediatr Surg 2017;22:43-45


How to cite this URL:
Basu SK, Bain J, Chattopadhyay D, Majumdar BK. Extensive chest wall tissue loss and its management by vertical rectus abdominis myocutaneous flap. J Indian Assoc Pediatr Surg [serial online] 2017 [cited 2021 Jan 20 ];22:43-45
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2017;volume=22;issue=1;spage=43;epage=45;aulast=Basu;type=0