Many methods for the repair of abdominal wall defects have been described in the literature. In this report we present an alternative to the widely used thigh flaps for repair of large full-thickness abdominal wall defects not amenable to direct closure or repair with local flaps. We report one case of this type of abdominal wall defect closed in one stage using a proximally based sartorius myofasciocutaneous flap. Although an excellent result was obtained in this case, the general applicability of the sartorius proximally based flap in plastic surgery of the abdominal wall requires further investigation.
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