The Tensor Fasciae Latae Myocutaneous Flap Closure of Major Chest and Abdominal Wall Defects

Abstract

Background:The usual methods of closure of major chest and abdominal wall defects have significant disadvantages. Skin grafts provide no structural support and result in incisional hernias. Synthetic mesh requires skin cover and is prone to infection and wound breakdown. The tensor fasciae latae (TFL) myocutaneous flap offers skin cover and a semi-rigid fascial layer. We document our unit's experience in pedicled and free TFL flaps. Methods: The TFL flap closure of trunk defects was undertaken in 10 patients between August 1989 and April 1997. All cases were not amenable to primary closure and repair with synthetic mesh or skin grafts. Results: The defect was satisfactorily repaired in all cases without subsequent herniation. Tne closure techniques using a pedicled TFL flap and a TFL flap for a free-tissue transfer are described. Conclusions: We conclude that the TFL flap is the method of choice for repairs of major truncal defects.

Repair of a large recurrent congenital lumbar hernia with free composite anterolateral thigh flap, tensor fascia lata flap, and vastus lateralis flap and meshes: A case report

“…Surgical repair is currently the only definitive treatment option either through open or laparoscopic approaches. Laparoscopic approach has the benefit of minimally invasive, brilliant visualization, thus avoiding damaging neighboring structures (Gruen et al, 1998; Suarez & Hernandez, 2013). However, such approach does not allow reconstruction with adequate tension in cases with massive deformity, in which certain controlled tension is in need to achieve functional and aesthetic results (Moreno‐Egea et al, 2007).…”

Peritônio bovino conservado na correção de hérnia ventral em ratos: uma alternativa para tela cirúrgica biológica

“…As telas absorvíveis, sintéticas ou biológicas, apresentam vantagens inerentes à sua característica de absorção pelo organismo. Entre as próteses absorvíveis biológicas mais estudadas e utilizadas estão: a dura-máter humana 5,6 , a membrana amniótica humana 7,8 , o saco herniário humano 9,10 , a fáscia-lata humana 11,12 , matrizes extracelulares de colágeno suíno [13][14][15] e o pericárdio de bovinos 16,17 , eqüinos 18 ou caprinos 19 . O pericárdio bovino é uma prótese biológica de uso corrente mas apresenta limitação na extensão do tecido obtido para implante.…”

Significance of anatomical variations of the lateral circumflex femoral artery for the tensor fasciae latae flapping

“…It offers a completely autologous, single-stage reconstructive solution. In the cases of free flaps the innervation of the TFL muscle is lost, and therefore its tone and bulges as well, so it is functionally passive [11,27,33].…”

“…Excisions of soft tissue tumours from trunk wall can leave disfiguring and difficultly restored defects, exposing some vital parts of the body, usually large vessels [1,5,11,33,38].…”