Reconstruction of large abdominal wall defects

Reconstruction of a large abdominal defect is a technically demanding proce dure. A single flap is sometimes insufficient for cover. Compound procedure s play an important role in solving this problem. The case of a 35-year-old man with a large abdominal hernia as a result of a traumatic defect on the right abdomen, previously covered by a skin graft, is presented. The recon structive method was initially expansion of posterior and upper parts of th e defect and also of the tensor fascia lata in situ and then deepithelizati on of the previous skin graft over the intestinal serosa. The defect was co vered by Prolene mesh, the upper and dorsal expanded skin was approximated, and an expanded tensor fascia lata flap was transposed to complete the cov er. During; follow-up examinations, there were no complications such as inf ection or recurrence of the hernia.