Reconstruction of the lower abdominal wall defects with the pedicled sartorius flap and gracilis flap

Objective To evaluate the repair of lower abdominal wall defects with the pedicled sartorius flap and gracilis flap. Methods Among the 7 cases, 5 cases were of post malignant tumor resection within the abdominal wall, leaving huge defect. 2 cases of wound poor healing of the abdominal wall post-infection. Abdominal wall defects left over by tumor resection or debridement were repaired with the pedicled sartorius flap and gracilis flap. Results After the first phase of the operation, 6 cases were healed by first intention without incision infection, dehiscence or hernia formation. One case suffering initial flap tip necrosis was healed by VSD and skin grafting. All patients were followed up for 9-18 months. There was no swelling and no abdominal hernia. Conclusion It is reliable to repair abdominal wall defects with the pedicled sartorius flap and gracilis flap. Key words: Abdominal wall; Surgical flaps; Soft tissue injuries; Reconstructive surgical procedures