Huge Abdominal Wall Reconstruction in a Complicated Inguinal Hernia

Abstract

Inguinal hernia repair is a common surgery that can result in incarceration in somecases. Catastrophic events may be encountered in specialized circumstances, such asFournier’s gangrene, which is an emergent condition. Treatment of debrided skin ofthe abdominal wall is always challenging, particularly in large defects.A 69-year-old man suffered from complications following inguinal hernia repair,which included laparoscopic mesh repair, subsequent right hemicolectomy withanastomosis, leading to ileostomy, Fournier’s gangrene, and eventually a large skindefect in the lower abdomen and perineal area. After multiple sessions of woundtherapy, he underwent abdominal wall reconstruction with two large pedicledanterolateral thigh flaps.Anterolateral thigh flaps, with their robust blood supply, can easily reach the lowerabdomen and cover extensive abdominal skin defects when transferred bilaterally.Level of Evidence: Level V, therapeutic study