The reversed dermal graft concept in abdominal wall reconstruction

The authors report the use of the reversed free graft of dermis for reconstruction of the musculo-aponeurotic element of the anterior abdominal wall, including peritoneum, in four clinical cases. Three were for correction of postoperative incision hernias of the supra and infraumbilical regions and one with a periumbilical defect of the entire thickness of the abdominal wall following resection of an intraparietal metastasis from an adenocarcinoma of the sigmoid colon. A V-Y pedicle myocutaneous rectus abdominis flap was used to provide overlying cover for the graft.