36963 A Reliable Soft Tissue Reconstruction Method Using Pedicled Anterolateral Thigh Flaps: From the Lower Abdomen to the Distal Lower Leg

Saturday, September 29, 2018: 9:00 AM
YuHeng Li, MD , Division of Plastic Surgery, Department of Surgery, Chi-Mei Medical center, Tainan, Taiwan, Tainan, Taiwan

Background: Soft tissue reconstruction of the lower abdomen, inguinal and perineum region, and the lower limbs is challenging(1,2). The anterolateral thigh (ALT) flap is widely used for soft tissue defect reconstruction due to its reliable anatomy and large soft tissue availability(3-6). The pedicled ALT flap can be applied for adjacent soft tissue defect coverage without vessel anastomosis.

Patients and Methods: Twelve patients who had undergone pedicled ALT flap for soft tissue reconstruction in our hospital from March 2010 to November 2017 were included. Surgical fields ranged from the lower abdomen to the distal lower third of the leg. There were 6 distally based pedicled ALT flaps with the reverse flow for lower limb reconstruction. Four cases occurred in the inguinal area and one occurred in the scrotum due to Fournier’s gangrene. One patient underwent reconstruction for an abdominal fascia defect.

Results: No surgery-related mortality occurred, and all the flaps survived. The donor sites were primarily closed without post-operative complication. All the patients achieved satisfactory results.

Conclusion: The pedicled anterolateral thigh flap has several advantages as a locoregional flap with minimal complication. It has wide applications for the treatment of soft tissue defects occurring in the lower abdomen to lower the third portion of the leg.


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