Related Experiment Video
Updated: May 29, 2026
07:57
An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
Split anterolateral thigh (ALT) free flap for vulva reconstruction: a case report
G Filobbos1, T Chapman, U Khan
1Department of Plastic Surgery, North Bristol NHS Trust, Frenchay Hospital, Bristol, United Kingdom. gfilobbos@yahoo.com
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|August 27, 2011
Summary
The split anterolateral thigh (ALT) flap offers a versatile solution for reconstructing vulval defects after tumor removal. This technique enhances reconstructive options without compromising blood supply, providing a valuable surgical advancement.
Area of Science:
- Plastic Surgery
- Surgical Oncology
- Reconstructive Microsurgery
Background:
- The anterolateral thigh (ALT) flap is a well-established reconstructive option known for its versatility and low donor site morbidity.
- It has been utilized in various reconstructive scenarios, including perineal and vulval defects, as both pedicled and free flaps.
Observation:
- This study introduces a novel application of the ALT flap: the split ALT flap.
- The split ALT flap was employed for the reconstruction of a vulval defect following surgical excision of recurrent tumor.
Findings:
- The successful use of a split ALT flap for vulval defect reconstruction is described.
- Splitting the ALT flap was found to further enhance its versatility.
- Crucially, this modification did not compromise the flap's vascularity.
Implications:
- The split ALT flap represents an innovative technique that expands reconstructive possibilities in vulval surgery.
- This approach offers a viable option for complex vulval defects, potentially improving patient outcomes.
- Further research may explore the broader application of split ALT flaps in oncologic reconstruction.