title: Combined Use of an Anterolateral Thigh Flap and Superficial Inferior Epigastric Artery Flap for Reconstruction of an Extensive Abdominal Wall Defect.
abstract: Reconstruction of large abdominal wall defects is challenging. We herein report the successful reconstruction of an extensive abdominal wall defect using a novel combination of flaps after sarcoma resection. A 74-year-old man presented with a dedifferentiated liposarcoma on his abdominal wall. He underwent excision of the tumor, which resulted in an extensive abdominal wall defect. The defect was reconstructed with a pedicled anterolateral thigh flap with an iliotibial tract and a pedicled superficial inferior epigastric artery flap. No skin graft was necessary. The wounds healed successfully, and no herniation occurred. The combination of an anterolateral thigh flap and a superficial inferior epigastric artery flap is a versatile option for reconstruction of extensive abdominal wall defects.
authors.affiliation: Divisions of Plastic and Reconstructive Surgery and Orthopedic Surgery, National Cancer Center Hospital, Tokyo, Japan.
authors.forename: Shimpei
authors.initials: S
authors.lastname: Miyamoto
authors.affiliation: Divisions of Plastic and Reconstructive Surgery and Orthopedic Surgery, National Cancer Center Hospital, Tokyo, Japan.
authors.forename: Yu
authors.initials: Y
authors.lastname: Kagaya
authors.affiliation: Divisions of Plastic and Reconstructive Surgery and Orthopedic Surgery, National Cancer Center Hospital, Tokyo, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Arikawa
authors.affiliation: Divisions of Plastic and Reconstructive Surgery and Orthopedic Surgery, National Cancer Center Hospital, Tokyo, Japan.
authors.forename: Eisuke
authors.initials: E
authors.lastname: Kobayashi