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

Abdulwahid M Salih, Fahmi H Kakamad, Kayhan A Najar, Karukh K Mohammed, Diyar A Mohammed, Shvan H Mohammed

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Article in International journal of surgery case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Abdulwahid M SalihCollege of Medicine, Department General Surgery, University of Sulaimani, Sulaimani, Kurdistan, Iraq; Smart Health Tower, Madam Mitterrand Str, Sulaimani, Kurdistan, Iraq.

Fahmi H KakamadSmart Health Tower, Madam Mitterrand Str, Sulaimani, Kurdistan, Iraq; College of Medicine, Department Cardiothoracic Surgery, University of Sulaimani, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq. Electronic address: fahmi.hussein@univsul.edu.iq.

Kayhan A NajarKscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.

Karukh K MohammedKscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq; Raparin Laboratory, Newroz Street, Ranya, Kurdistan, Iraq.

Diyar A MohammedKscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.

Shvan H MohammedKscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.

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6 · The paper itself

Abstract

introductionClosure 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. CASE REPORT: 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. DISCUSSION: 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.

conclusionBilateral anterolateral myocutaneous thigh flap is practical whenever indicated. It is best suited for covering of the lower abdominal defects.

Indexed as

Anterolateral myocutaneousBilateralFlap

Identifiers

PMID32979822

DOI10.1016/j.ijscr.2020.09.086

PMCPMC7519278

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