Abstract

The use, in two patients, of a free graft of dermis to reconstruct the musculo-aponeurotic element of the anterior abdominal wall is described, one with a defect of the left epigastric region following resection of a desmoid tumour, the other with a periumbilical defect of the entire thickness of the abdominal wall following resection of a fungating colonic carcinoma, the latter patient with an adjacent left iliac defunctioning colostomy. A latissimus dorsi myocutaneous free flap was used to provide overlying cover for the graft.

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