Table 1 Available options for reconstruction of large abdominal wall defects
From: Recurrent abdominal wall dermatofibrosarcoma protuberans in a child: a challenging reconstruction
| Â | Pros | Cons |
|---|---|---|
Latissimus dorsi flap | Constant vascular anatomy with long pedicle and large diameter | Significant motor deficit at donor site |
Donor defect can be closed primarily if skin paddle required is small—better cosmesis | Available skin paddle is small though muscle bulk is good | |
Anterolateral thigh flap | Long vascular pedicle with relatively large diameter | Donor site cosmesis is poor |
Large skin paddle | Â | |
Tensor fascia lata flap | Consistent, lengthy vascular pedicle | Donor site cosmesis is poor |
No significant functional loss at donor site | Bulky flap |