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 rate of infection and enterocutaneous fistulae. In contaminated situations, an autological reconstruction is more advisable than the use of synthetic materials1. In many midline defects, the laterally displaced abdominal wall muscles can be re-positioned using the component separation technique2. For patients with loss of the abdominal wall tissue, several flaps are available locally and regionally. In the upper part, 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, pe-dicled or microvascular. To achieve good results, proper planning and timing of the reconstruction are important.
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