THE USAGE OF TENSOR FASCIA LATA FOR RECONSTRUCTION OF ABDOMINAL WALL

Abstract

Tensor fascia lata is frequently employed in the reconstruction of abdominal wall defects either as free graft or pedicted flap. Between 1988-1992 tensor fascia lata was used in 8 cases in a total of 7 patients. This series comprised 4 cases of musculocutaneous flaps, 2 cases of musculofascial flaps and 2 cases ol free fascia grafts. All defects were localized in the lower abdomen and the paraumbilical area with dimensions varying between 8-30 cm. In 5 cases, tensor fascia lata provided stabile coverage for the incisional hernia defects which did not benefit from previous attempts of repair. Necrosis of the tensor fascia lata musculocutaneous flap was observed in 1 case, who had necrotising fascilitis. This was later reconstructed with the employment of opposite tensor fascia lata musculocutaneous flap. With the results of this study, it was concluded that: 1) Tensor fascia lata has a wide arc of rotation and a reliable vascularity, and 2) a versatile method of autogenous reconstruction providing stabile coverage for lower and mid-abdominal defects.