Tensor Fascia Lata Myocutaneous Flap in Lower Abdominal Wall Reconstruction

Authors:
  • DWDavid N. White
    David N. White
  • RPRobert M. Pearl
    Robert M. Pearl
  • DLDonald R. Laub
    Donald R. Laub
  • BDBruce K. DeFiebre
    Bruce K. DeFiebre
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Abstract
The tensor fascia lata myocutaneous flap provides a reliable autogenous building block for anatomical lower abdominal wall reconstruction. Preservation of innervation allows maintenance of voluntary motor control and protective sensation. The excellent blood supply of this flap is particularly helpful in reconstructing previously irradiated areas. A one-stage repair is possible, leaving minimal secondary defect. We describe 4 patients illustrating the uses and versatility of this flap. Anatomy, operative procedures, and indications for delay are also discussed.