Covering a large abdominal wall defect using bilateral anterolateral myocutaneous thigh flap: A case report

• Published in: International journal of surgery case reports Vol. 75; pp. 261 - 263
• Main Authors: Salih, Abdulwahid M., Kakamad, Fahmi H., Najar, Kayhan A., Mohammed, Karukh K., Mohammed, Diyar A., Mohammed, Shvan H.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01-01-2020; Elsevier
• Subjects: Anterolateral myocutaneous; Bilateral; Case Report; Flap; Flap; Bilateral; Anterolateral myocutaneous
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2020.09.086

•A variety of methods for abdominal wall closure have been described.•Closure of a defect by myocuteous thigh flap is a viable option.•In this report, bilateral anterolateral myocutaneous thigh flaps has been discussed.
Closure of the abdominal wall defect by myocuteous thigh flap is an option. The aim of this paper is to report a case of abdominal wall defect covered by bilateral anterolateral myocutaneous thigh flap.
A 45-year-old female presented with a large defect in the anterior abdominal wall. It was decided to cover the wound with bilateral anterolateral myocutaneous thigh flap as the defect was so large to be filled with a single flap. Under general anesthesia, a flap was elevated lateral to a line joining mid inguinal point to the lateral epicondyle, the flap was rotated under inguinal skin and sutured to the defect. The procedure was repeated for the contralateral side two weeks later.
Lower abdominal wall defects can be reconstructed by the use of the combined technique of sublay technique, intraperitoneal mesh placement, pedicled great omentum flap and rotation skin graft, also tensor fascia lata has been proven to be a safe and versatile flap.
Bilateral anterolateral myocutaneous thigh flap is practical whenever indicated. It is best suited for covering of the lower abdominal defects.