Abdominal wall reconstruction with an expanded rectus femoris flap

Area of Science:

• Reconstructive surgery
• Plastic surgery
• Abdominal wall reconstruction

Background:

• Massive abdominal wall defects require robust reconstructive solutions.
• Traditional methods may have limitations in reach, contour, and donor site morbidity.
• The rectus femoris flap is a potential candidate for abdominal wall reconstruction.

Observation:

• The expanded rectus femoris flap demonstrates significant reach, extending to the xyphoid process.
• The flap possesses considerable width, facilitating coverage of large defects.
• Primary closure of the donor site is achievable with acceptable scarring.
• The flap retains innervation and muscle function, potentially mitigating abdominal bulging.
• The expanded flap offers some thinning, resulting in a more natural abdominal contour.

Findings:

• The expanded rectus femoris flap is suitable for abdominal wall defects extending superiorly, even above the umbilicus.
• Simultaneous two-team approaches are feasible during complex procedures like fistula repair.
• The technique allows for improved aesthetic outcomes with better abdominal contour.

Implications:

• Consideration of the expanded rectus femoris flap for complex abdominal wall reconstructions, particularly those involving superior defects.
• Potential for improved functional outcomes and reduced donor site morbidity.
• Enhances surgical planning for combined intra-abdominal and abdominal wall procedures.