Combined Versatility of a Pedicled Rectus Femoris and Anterior Lateral Thigh Chimeric Flap in Staged Complex Abdominal Wall Reconstruction: A Case Report in a Transplant Recipient.
Agustin Herber, Taylor Kreul, Robert Unger et al.
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Case in brief
A 35-year-old immunosuppressed man developed a large Spigelian hernia with loss of domain after repeat cadaveric renal transplantation. The abdominal wall defect was managed with staged complex reconstruction: temporary abdominal closure was followed by ventral hernia repair using biological mesh in an underlay position, with tunneled pedicled anterolateral thigh and rectus femoris flaps for coverage.
What made this case unusual
The reconstruction combined tunneled pedicled anterolateral thigh and rectus femoris flaps in a transplant recipient with a large defect and loss of domain.
Diagnostic / clinical pearl
For extensive abdominal wall defects not amenable to local tissue reconstruction, regional pedicled flaps may be incorporated into a staged repair; defect location and size inform flap selection.