External oblique muscle flap for abdominal wall reconstruction: Local solution for local problem

Reconstruction of full-thickness abdominal wall defect is difficult and is usually done by regional flaps or free tissue transfers. This creates additional donor site morbidity. A 20 cm × 15 cm full-thickness defect in the right iliac fossa of a woman after tumor excision was reconstructed successfully with right-sided external oblique muscle flap and abdominoplasty in a hitherto undescribed fashion. External oblique muscle flap with abdominoplasty can be used for reconstruction of abdominal wall defects with minimum morbidity and satisfactory esthetic appearance.