title: Reconstruction of the Lower Abdominal Region Using Bilateral Pedicled Anterolateral Thigh Flaps Combined With Poly-Surgical Mesh: A Case Report.
abstract: The en-bloc resection of neoplasms on the abdominal wall often causes extensive defects that are difficult to manage. The anterolateral thigh (ALT) flap is a widely used flap in reconstructive surgery of defects. In this article, we present a case using bilateral pedicle anterolateral thigh flaps combined with a surgical polymesh to repair a large defect (22 cm × 18 cm) caused by dissection of a recurrent fibromatosis with good functional and aesthetic effects. There were no obvious morbidities or complications during a 6-month follow-up period.We conclude that the bilateral pedicle anterolateral thigh flap is a good choice for reconstruction of large lower abdominal wall defects. It can afford sufficient soft tissue coverage without obvious donor site morbidity.
authors.affiliation: From the Department of Oncoplastic and Reconstructive surgery (BZ, XZ, ZL, X-WP, L-CY, C-LL); and Department of Intestinal Oncology surgery(J-YC), Hunan cancer Hospital, The Affiliated Tumor Hospital of Xiangya Medical School, Central South University, Changsha, Hunan, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Zhou
authors.forename: Xiao
authors.initials: X
authors.lastname: Zhou
authors.forename: Zan
authors.initials: Z
authors.lastname: Li
authors.forename: Ju-Ying
authors.initials: JY
authors.lastname: Chen
authors.forename: Xiao-Wei
authors.initials: XW
authors.lastname: Peng
authors.forename: Li-Chang
authors.initials: LC
authors.lastname: Yang
authors.forename: Chun-Liu
authors.initials: CL
authors.lastname: Lv
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000008:Abdominal Neoplasms / Q000601:surgery; D000328:Adult; D005350:Fibroma / Q000601:surgery; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D013524:Surgical Flaps / Q000601:surgery*; D013526:Surgical Mesh; D013848:Thigh / Q000601:surgery*