Autologous tissue alternatives in abdominal wall reconstruction

The definite reconstruction of abdominal wall defects can be achieved using a variety of methods. The use of synthetic mesh is widespread but is related to increased are of infection and enterocutaneous fistulae. In contaminated situations. an autological reconstruction is more advisable than the use of synthetic materials'. In many midline defects, the laterally displaced abdominal wall muscles can be repositioned using the component separation technique(2). For patients with loss of the abdominal wall tissue. several flaps are available locally and regionally In the upper pail., the latissimus dorsi muscle flap can be used, and in the lower, lateral or central abdominal wall, the tensor fascia latae or anterolateral thigh flaps are available, pedicled or microvascular. To achieve good results. proper planning and timing of the reconstruction are important.