Semin Plast Surg 2018; 32(03): 133-140
DOI: 10.1055/s-0038-1661381
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Flap Reconstruction of the Abdominal Wall

Margaret S. Roubaud
1   Department of Plastic and Reconstructive Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas
,
Donald P. Baumann
1   Department of Plastic and Reconstructive Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas
› Author Affiliations
Funding Sources None.
Further Information

Publication History

Publication Date:
24 July 2018 (online)

Abstract

Due to the abundant and lax tissue of the abdominal wall, most ventral trunk defects are amenable to local soft tissue closure. However, when abdominal defects are accompanied by a lack of soft tissue, the surgeon faces a more complex subset of reconstructions. Three important principles guide the reconstruction of these wounds: timing of closure, careful assessment of the true extent of the wound, and the components of the defect. This article focuses on these three guiding principles and suggests the authors' preferred technique for these difficult defects.