title: Pre-expanded epigastric flap cover for ventral hernia following fungal necrotizing fascitis of caesarian section wound: An unusual complication.
abstract: BACKGROUND
  Reconstruction of anterior abdominal wall after necrotizing abdominal wall infections is a challenge.
  
  
  METHODS
  A 35-year-old lady presented with 20 × 18 cm sized defect of the anterior abdominal wall following fungal necrotizing fascitis. The defect was covered by an overlay prolene mesh and the soft tissue deficit was corrected by pre-expanded epigastric flap based on the superior epigastric artery.
  
  
  CONCLUSIONS
  A concerted multi-specialty effort is needed to correct these defects.
authors.affiliation: Department of Plastic Surgery and Burns, Dayanand Medical College and Hospital, Ludhiana, Punjab India.
authors.forename: Sanjeev K
authors.initials: SK
authors.lastname: Uppal
authors.forename: Ramneesh
authors.initials: R
authors.lastname: Garg
authors.forename: Ashish
authors.initials: A
authors.lastname: Gupta
keywords: Caesarian section; Extended epigastric flap; Necrotizing fascitis abdomen; Tissue expander