Simultaneous Island-pedicled Anterolateral Thigh Flap and Pedicled Tensor Fasciae Latae Flap for the Reconstruction of Abdominal Fascia Defect after Radical Ablation of a Recurrent Desmoid Tumor: A Ca

Abstract

Aggressive fibromatosis, also known as desmoid tumor, was an uncommon, locally aggressive benign monoclonal fibroblastic proliferation arising in musculoaponeurotic structures. One 28 year-old female patient suffered from a recurrent desmoid tumor over lower abdominal wall. There was a 15×20 cm^2 abdominal fascia defect after radical ablation surgery. Combined island-pedicled anterolateral thigh (ALT) fasciocutaneous flap and pedicled tensor fasciae latae (TFL) flap were utilized to replace abdominal fascia and soft tissue defect. The whole course was smooth without any complication. The TFL flap is the prime choice of flap for middle and lower abdominal fascia defect reconstruction. The combination with the ALT flap might be the lifeboat for soft tissue and fascia insufficiency, and rendered limited donor site deformity. The obscure scar which may mimic that one in abdominoplasty is also the advantage by this design for radical excision of desmoid tumor. Simultaneous island-pedicled ALT flap and pedicled TFL flap have restored the abdominal wall both functionally and esthetically.