scholarly journals Combined Use of an Anterolateral Thigh Flap and Superficial Inferior Epigastric Artery Flap for Reconstruction of an Extensive Abdominal Wall Defect

2016 ◽  
Vol 4 (11) ◽  
pp. e1121 ◽  
Author(s):  
Shimpei Miyamoto ◽  
Yu Kagaya ◽  
Masaki Arikawa ◽  
Eisuke Kobayashi
2010 ◽  
Vol 147 (2) ◽  
pp. e49-e53 ◽  
Author(s):  
R. Sinna ◽  
M. Gianfermi ◽  
T. Benhaim ◽  
Q. Qassemyar ◽  
M. Robbe

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-226076
Author(s):  
Prashant Kumar ◽  
Rishi Nayyar ◽  
Amlesh Seth ◽  
Deepti Gupta

The exstrophy–epispadias complex represents a spectrum of genitourinary malformations ranging from simple glanular epispadias to an overwhelming multisystem defect, cloacal exstrophy. Neonatal total reconstruction of bladder exstrophy–epispadias complex is the treatment of choice. An adult patient presenting with untreated exstrophy is very rare. Malignant transformation, commonly adenocarcinoma, in such cases is a known complication due to mucosal metaplasia of urothelium. Management in such cases necessitates a radical surgical procedure that often results in a massive defect in the anterior abdominal wall. Providing a cover for such defects is a challenging task for the reconstructive surgeon. Local skin flaps and wide mobilisation of the rectus muscle are the usually employed techniques for closure of such defects. However, these may be inadequate in extremely large defects such as those encountered in our patients. We, hereby, describe our technique of closure of the abdominal wall defect using a pedicled anterolateral thigh flap.


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