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Abstract
Muscle flaps and musculocutaneous flaps, in recent years, have revolutionised much of plastic surgery. Only certain muscles have a suitable blood supply, however, and one of the first to be recognised was the gracilis muscle.
Pickrell et al., 1952
described the successful use of its transposition to correct anal incontinence and later (1956) urinary incontinence. Orticochea, 1972
described how to reconstruct a penis with the gracilis and its overlying skin. Pers and Medgyesi, 1973
reported a number of uses including repair of a vesico vaginal fistula. Bartholdson and Hulten, 1975
transposed the gracilis muscle into 4 cases of large perineal sinuses following proctocolectomy, similar to that described in Case 1. The following 3 cases illustrate how versatile is the gracilis flap with or without its overlying skin. The main blood supply coming through the obturator foramen allows most of the muscle to be transplanted and it can solve some otherwise intractable problems.Reference
- Repair of persistent perineal sinuses by means of a pedicle flap of musculus gracilis.Scandinavian Journal of Plastic and Reconstructive Surgery. 1975; 9: 74
- A new method of total reconstruction of the penis.British Journal of Plastic Surgery. 1972; 25: 347
- Pedicle muscle flaps and their application in the surgery of repair.British Journal of Plastic Surgery. 1973; 26: 313
- Construction of a rectal sphincter and restoration of anal continence by transplanting the gracilis muscle.Annals of Surgery. 1952; 135: 853
- Gracilis muscle transplant for correction of urinary incontinence in male children.Annals of Surgery. 1956; 143: 239
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© 1980 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.
