Dynamic Reconstruction of Full-Thickness Abdominal Wall Defects Using Free Innervated Vastus Lateralis Muscle Flap Combined With Free Anterolateral Thigh Flap

2013 ◽  
Vol 70 (3) ◽  
pp. 331-334 ◽  
Author(s):  
Takuya Iida ◽  
Makoto Mihara ◽  
Mitsunaga Narushima ◽  
Takeshi Todokoro ◽  
Hisako Hara ◽  
...  
2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Kiyoko Fukui ◽  
Masaki Fujioka ◽  
Satoko Ishiyama

The purpose of abdominal wall reconstruction is to prevent hernias and protect the abdominal viscera. In cases involving full-thickness defects of the rectus abdominis muscle, the muscle layer should be repaired. We present 2 cases in which full-thickness lower rectus abdominis muscle defects were reconstructed using vastus lateralis-anterolateral thigh flaps. The pedicled vastus lateralis-anterolateral thigh flap provides skin, fascia, and muscle tissue. Furthermore, it has a long neurovascular pedicle and can reach up to the periumbilical area and cover large defects. We consider that this muscle flap is a good option for repairing full-thickness lower abdominal defects.


2012 ◽  
Vol 49 (2) ◽  
pp. 245-248 ◽  
Author(s):  
Jose G. Christiano ◽  
Amir H. Dorafshar ◽  
Eduardo D. Rodriguez ◽  
Richard J. Redett

A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.


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