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Niger J Surg. 2019 Jul-Dec;25(2):220-222. doi: 10.4103/njs.NJS_29_18.

Large Abdominal Wall Defect Reconstruction: Revoking and Modifying the Old Technique.

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Department of Plastic Surgery, Sri Ramachandra Medical College and Research Institute (Deemed to be University), Chennai, Tamil Nadu, India.


The risk factors for abdominal wall hernia after surgery are an increase in body mass index, midline incision, incisional surgical-site infection, preoperative chemotherapy, blood transfusion, increasing age, female sex, and increasing thickness of subcutaneous tissue. Reconstructing the abdominal wall defect becomes a challenge in multiple risk factor patients. Many new mesh implants have been invented, but all fail in case of infections. We modified and re-evoked an old technique of fascia lata free graft reinforced with tensor fascia lata pedicled flap.


Abdominal wall reconstruction; pedicled tensor fascia lata; tensor fascia lata graft

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