Summary
A case of total abdominal wall reconstruction in a 22-year-old man is presented. He had an omphalocele which was covered initially with skin grafts, thus creating a huge abdominal hernia. Two tensor fascia lata flaps, each measuring 14 × 36 cm, were used to reconstruct the abdominal wall following delay. This method, whenever available, is in our opinion the best and most reliable way to reconstruct the abdominal wall. Myocutaneous flaps now have extended use in plastic and reconstructive surgery [1, 3, 5, 6, 8, 10]. The tensor fascia lata (TFL) myocutaneous flap is unique in its fascial extension and large overlying skin territory which makes it ideal for abdominal wall repairs.
References
Bostwick J, Hill H, Nahai F (1979) Reparirs of the lower abdomen, groin or perineum with myocutaneous or omental flaps. Plast Reconstr Surg 61:186
Cafee H (1983) Reconstruction of the abdominal wall by variations of the tensor fasciae latae flap. Plast Reconstr Surg 71:348
Hill H, Nahai F, Vasconez L (1978) The tensor fascia lata myocutaneous free flap. Plast Reconstr Surg 61:517
Luce EA, Hyde G, Gottlieb SE, Romm S (1983) Total abdominal wall reconstruction. Arch Surg 118:1446
Mathes S, Nahai F (1975) Clinical atlas of muscle and musculocutaneous flaps. Mosby, St Louis, pp 63–85
Mathes S, Nahai F (1982) Clinical application for muscle and musculocutaneous flaps. Mosby, St Louis, pp 368–387
McPeal CJ, Miller TR (1960) Abdominal wall replacement. Surgery 47:944
McCraw J, Arnold GP (1986) Atlas of muscle and musculocutaneous flaps. Hampton Press, Norfolk, Virginia, pp 423–443
Peled I, Kaplan H, Herson M, Wexler MR (1983) Tensor fascia lata musculocutaneous flap for abdominal wall reconstruction. Ann Plast Surg 11:141
Scheflan M (1981) The tensor fascia lata. Variation on the theme. Plast Reconstr Surg 68:59
Silberman DA, Franklin-Elliott L, Hoffman GA (1985) 4: Extended myofascial thigh flaps for repair of large full thickness abdominal wall defects. Ann Plast Surg 15:170
Voyles C, Richardson J, Bland K (1981) Emergency abdominal wall reconstruction with polypropylene mesh. Ann Surg 194:219
Wangensteen O (1946) Repair of large abdominal defects by pedicled fascial flaps. Surg Gynecol Obstet 82:144
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Wexler, M.R., Zeligowski, A., Neuman, R. et al. Total abdominal wall reconstruction with two tensor fascia lata myocutaneous flaps. Eur J Plast Surg 12, 43–46 (1989). https://doi.org/10.1007/BF00226923
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DOI: https://doi.org/10.1007/BF00226923