Abstract
Reconstruction of complex defects of the anterior abdomen is both challenging and
technically demanding for reconstructive surgeons. Advancements in the use of pedicle
and free tissue transfer along with the use of bioprosthetic and synthetic meshes
have provided for novel approaches to these complex defects. Accordingly, detailed
knowledge of abdominal wall and lower extremity anatomy in combination with insight
into the design, implementation, and limitations of various flaps is essential to
solve these complex clinical problems. Although these defects can be attributed to
a myriad of etiologic factors, the objectives in abdominal wall reconstruction are
consistent and include the restoration of abdominal wall integrity, protection of
intraabdominal viscera, and the prevention of herniation. In this article, the authors
review pertinent anatomy and the various local, regional, and distant flaps that can
be utilized in the reconstruction of these complex clinical cases of the anterior
abdomen.
Keywords
complex defects anterior abdominal wall - restoration abdominal wall integrity - locoregional
flaps - distant flaps - bioprosthetic mesh - synthetic mesh
