DYNAMIC AND FUNCTIONAL ABDOMINAL-WALL STA BILIZATION AND RECONSTRUCTION OF EXTENDED ABDOMINAL-WALL DEFECTS

The aim of any abdominal wall reconstruction is maximal functional sta bility and adequate soft tissue coverage. The anatomy, elevation and c linical application of the myofascial tensor fasciae latae transpositi on flap and of the microvascular musculocutaneous latissimus dorsi fre e flap are presented. Repairing extensive fascial defects and recurren t hernias with the tensor fasciae latae transposition flap provides st rong, dynamic, and functional reconstruction of fascial continuity to prevent a further recurrence. Adequate functional and aesthetic repair of a full-thickness abdominal wall defect can be optimally managed by the innervated microsurgical latissimus dorsi free flap.