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Anterolateral thigh flap for abdominal wall reconstruction
Y Kimata1, K Uchiyama, M Sekido
1Department of Plastic Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
Plastic and Reconstructive Surgery
|March 24, 1999
Summary
The anterolateral thigh flap offers a superior option for reconstructing large abdominal wall defects compared to the tensor fasciae latae flap. This versatile flap ensures successful reconstruction with excellent outcomes and no hernia recurrence.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Large abdominal wall defects pose significant reconstructive challenges.
- The tensor fasciae latae flap has been used, but has limitations.
Purpose of the Study:
- To evaluate the efficacy of the anterolateral thigh flap for abdominal wall reconstruction.
- To compare its outcomes with the tensor fasciae latae flap.
Main Methods:
- Retrospective review of seven patients undergoing abdominal wall reconstruction.
- Use of free or pedicled anterolateral thigh flaps, some incorporating tensor fasciae latae.
- Flap survival and absence of hernia were assessed.
Main Results:
- All seven anterolateral thigh flaps survived completely.
- No postoperative abdominal hernias were observed.
- Flap size ranged from 10x20 cm to 20x20 cm for defects up to 18x24 cm.
Conclusions:
- The anterolateral thigh flap is a reliable and superior alternative for large abdominal wall defect reconstruction.
- Its extensive skin territory and long pedicle facilitate versatile placement.
- It offers advantages over the tensor fasciae latae flap in terms of reach and reconstructive capacity.