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Related Experiment Video

Updated: Jan 5, 2026

Engineered Vascularized Muscle Flap
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Extensive full thickness abdominal wall reconstruction using anterolateral thigh compound flap modifications.

Jeongseok Oh1, Joon Seok Oh1, Seok-Chan Eun1

  • 1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Bundang, South Korea.

Microsurgery
|October 20, 2019
PubMed
Summary

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The anterolateral thigh (ALT) flap, including its fascial component, offers a reliable solution for complex abdominal wall reconstruction, particularly when exposed intestines require coverage and reinforcement.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Surgical Innovation

Background:

  • Abdominal wall reconstruction presents significant challenges requiring robust skin coverage and structural integrity.
  • The anterolateral thigh (ALT) flap, incorporating its fascial portion, is explored as a viable reconstructive option.

Observation:

  • A retrospective review of five patients with complex abdominal wall defects (e.g., post-liposuction, perforations) undergoing reconstruction with ALT free flaps and fascia lata.
  • Defect sizes averaged 17.4 x 10 cm, with reconstructions performed in a single stage using ALT flaps based on the lateral circumflex femoral artery.

Findings:

  • The ALT flap with its fascial component effectively covered and reinforced exposed intestines in all cases.
  • While minor complications like partial flap necrosis and infection occurred, they were successfully managed, leading to functional stabilization and return to normal activities within a mean follow-up of 63 months.

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Implications:

  • The ALT flap with its fascial component demonstrates utility and reliability for abdominal wall reconstruction.
  • This technique offers a promising solution for complex cases involving intestinal exposure, enhancing patient outcomes.