• Bo Zhou, Xiao Zhou, Zan Li, Ju-Ying Chen, Xiao-Wei Peng, Li-Chang Yang, and Chun-Liu Lv.
• From the Department of Oncoplastic and Reconstructive surgery (BZ, XZ, ZL, X-WP, L-CY, C-LL); and Department of Intestinal Oncology surgery(J-YC), Hunan cancer Hospital, The Affiliated Tumor Hospital of Xiangya Medical School, Central South University, Changsha, Hunan, China.
• Medicine (Baltimore). 2015 Dec 1; 94 (52): e2375e2375.

AbstractThe en-bloc resection of neoplasms on the abdominal wall often causes extensive defects that are difficult to manage. The anterolateral thigh (ALT) flap is a widely used flap in reconstructive surgery of defects. In this article, we present a case using bilateral pedicle anterolateral thigh flaps combined with a surgical polymesh to repair a large defect (22 cm × 18 cm) caused by dissection of a recurrent fibromatosis with good functional and aesthetic effects. There were no obvious morbidities or complications during a 6-month follow-up period.We conclude that the bilateral pedicle anterolateral thigh flap is a good choice for reconstruction of large lower abdominal wall defects. It can afford sufficient soft tissue coverage without obvious donor site morbidity.

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