A challenge in soft tissue reconstruction: The use of pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap in reconstructing a huge full thickness lateral trunk defect.

ABSTRACT:

Introduction and importance

Lateral abdominal wall (LAW) defect presents as a rare and unique challenge to the reconstructive surgeons.

Case presentation

We report a huge recurrent right lateral abdominal DFSP with local invasion in a 35-year-old lady. After wide local excision, the reconstruction was done by using pedicled anterolateral thigh fasciocutaneous flap and gluteal fasciocutaneous rotational flap.

Clinical discussion

The goal of reconstruction of the lateral abdominal wall is similar to that of the anterior abdominal wall, namely to provide a static repair that will not attenuate and form a bulge or hernia over time. Anchoring a mesh to stable fixation points is expected to ensure structural integrity in the LAW defect. However, we selected fascial inset fr

SUBMITTER: Yi L 

PROVIDER: S-EPMC8554457 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature