PMC9924808_01
Patient with a large flank hernia and kyphoscoliosis.
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Clinical examination of the patient showed a large flank hernia and kyphoscoliosis (Figure 1).
Hernia reduction and abdominal wall reconstruction with polypropylene mesh.
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The general surgery team reduced the hernia and reconstructed the abdominal wall with a polypropylene mesh (Figure 2).
Abdominal flap necrosis with mesh exposure and ALT flap design.
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An attempt was made to cover the mesh by advancing a local flap from the abdomen but the flap became partially necrotic with subsequent mesh exposure (Figure 3).
Fasciocutaneous ALT flap raised on a single perforator.
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The flap was raised in a subfascial plane and pedicled on a single musculocutaneous perforator (Figure 4).
One year follow up visit showing good flap integration with no hernia recurrence.
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She returned for follow-up visits at 1 month, 3 months, 6 months, one year (Figure 5) and two years.
Preoperative and postoperative CT scan showing abdominal wall reconstruction with ALT flap, with restored fascial contour (arrow) and no recurrence.
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