Reconstruction of a large lateral abdominal wall defect with an ilio-lumbar bi-pedicled flap

An ilio-lumbar bi-pedicled flap was used for the reconstruction of a large lateral abdominal wall defect with a fascia lata graft to provide the musculo-fascial layer. This flap is simple and safe because it includes both the superficial circumflex iliac vessels and the perforating cutaneous branches of the lumbar vessels. We regard it as the method of choice in the repair of major defects of the lateral abdominal wall.