THE REVERSED DERMAL GRAFT CONCEPT IN ABDOMINAL-WALL RECONSTRUCTION

The authors report the use of the reversed free graft of dermis for re construction of the musculo-aponeurotic element of the anterior abdomi nal wall, including peritoneum, in four clinical cases. Three were for correction of postoperative incision hernias of the supra and infraum bilical regions and one with a periumbilical defect of the entire thic kness of the abdominal wall following resection of an intraparietal me tastasis from an adenocarcinoma of the sigmoid colon. A V-Y pedicle my ocutaneous rectus abdominis flap was used to provide overlying cover f or the graft.