PMC5198147_01
A pedicled vastus lateralis-anterolateral thigh flap was elevated from the left thigh. The flap was harvested together with a motor nerve.
CRIS2016-8753479.001.jpg
PMC5198147_01_CRIS2016-8753479.001.jpg
fig1
The peritoneum was closed primarily, and a muscle defect measuring 9 x 13 cm was repaired with an 11 x 15 cm pedicled anterolateral thigh flap, which included the vastus lateralis muscle (Figure 1).
The flap was tunneled under the rectus femoris muscle and transferred to the abdominal wall defect.
CRIS2016-8753479.002.jpg
PMC5198147_01_CRIS2016-8753479.002.jpg
fig2
The flap was tunneled under the rectus femoris muscle to medialize the neurovascular pedicle and then transferred to the abdominal wall defect (Figure 2).
An MRI scan at one postoperative month showed that the rectus abdominis muscle defect had been reconstructed with the vastus lateralis muscle flap.
CRIS2016-8753479.003.jpg
PMC5198147_01_CRIS2016-8753479.003.jpg
fig3
An MRI scan obtained at one postoperative month showed that the rectus abdominis muscle defect had been reconstructed with the vastus lateralis muscle flap, and no hernias had developed (Figure 3).
The transferred vastus lateralis muscle underwent voluntary contraction according to electromyography at 6 postoperative months.
CRIS2016-8753479.004.jpg
PMC5198147_01_CRIS2016-8753479.004.jpg
fig4
When the patient flexed the hip joint and kept her abdominal muscles contracted, the transferred vastus lateralis muscle underwent voluntary contraction according to electromyography performed at 6 postoperative months (Figure 4).
PMC5198147_02
A pedicled vastus lateralis-anterolateral thigh flap was elevated with a motor nerve.
CRIS2016-8753479.005.jpg
PMC5198147_02_CRIS2016-8753479.005.jpg
fig5
A pedicled vastus lateralis-anterolateral thigh flap (size of the muscle and fascia component: 10 cm x 20 cm) was harvested from the left thigh (Figure 5).