Reconstruction of large through-and-through abdominal wall defects using anterolateral thigh flaps

Toshiyuki Watanabe, Masakazu Ao, Eijiro Tokuyama, Hiroshi Matsumoto, Okiharu Mae

Research output: Contribution to journalArticlepeer-review


Five large through-and-through abdominal wall post tumor ablation defects were successfully reconstructed using anterolateral thigh flaps. A pedicled anterolateral thigh flap and a super-charged anterolateral flap with double vascular pedicles were used for one case each, and a free anterolateral thigh flap was used in three cases. Anterolateral thigh flaps provide large skin territories, sturdy fascia and long vascular pedicles without sacrificing main vessels and muscles. Therefore, lower abdominal wall defects can easily be covered by pedicled anterolateral thigh flaps. When a longer vascular pedicle based on a distal perforator is unavailable, a pedicled anterolateral thigh flap can be transferred to the epigastrium. When an anterolateral thigh flap is supplied by double perforators derived from separate branches of the lateral circumflex femoral system, a Siamese flap can also be elevated. The authors consider the anterolateral thigh flap to be a favorable alternative to conventional free flaps and the pedicled tensor fascia lata myocutaneous flap.

Original languageEnglish
Pages (from-to)611-617
Number of pages7
JournalJapanese Journal of Plastic and Reconstructive Surgery
Issue number6
Publication statusPublished - Jun 1 2005

ASJC Scopus subject areas

  • Surgery


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