Saadat Ali Janjua.
Repair of Abdominal Hernia using free tissue transfer.
J Coll Physicians Surg Pak Jan ;12(6):381-3.

A 24 years old man had a reducible hernia in his left flank secondary to soft tissue damage following high voltage electrical injury. The area of scarring extended over left thigh, gluteal region and a rim of tissue around the hernia. The hernial sac was excised, prolene mesh placed extraperitoneally as an inlay graft and covered by ipsilateral free latismus dorsi muscle, which, in turn was surfaced with meshed split skin graft. The large size of the defect and absence of adjacent flaps made this the only suitable option. The results were extremely grafting. Microsurgical reconstruction lies at the top of the ladder of reconstruction but gives the best of aesthetic and functional results.

A 25 years old young man reported with a reducible globular swelling in the left flank for the last 3 years. The swelling was gradually increasing in size. It was not only cosmetically unacceptable but also a hindrance to mechanical work. The patient was a victim of high voltage electrical injury sustained three years ago. He remained hospitalized for six weeks during which he had undergone various sessions of wound debridements and skin grafting involving primarily right elbow, left flank and left thigh. The wounds healed but there was a resultant protrusion of abdominal contents through a weakening of abdominal wall in the left flank. The patient was a waiter by profession in a local restaurant.

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