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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
Summary
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.
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.
