PMC4485616_01
ALT flap used for reconstruction after wide local excision of EMPD. (Top, left and right) Penoscrotal EMPD before WLE with 3-cm surgical margin. (Below, left) Markings for right thigh ALT flap with marked perforators. (Bottom, center) Wound after resection of EMPD lesion full thickness down to fascia. (Bottom, right) Reconstruction of soft-tissue defect with the pedicle ALT flap after standard elevation and tunneling beneath the rectus femoris and sartorius muscles.
eplasty15e26_fig1.jpg
PMC4485616_01_eplasty15e26_fig1.jpg
F1
The skin and fascia of the flap were then inset into the defect over a 19-French Blake drain (Fig 1).