huge abdominal wall reconstruction in a complicated inguinal hernia

Inguinal hernia repair is a common surgery that can result in incarceration in some cases. catastrophic events may be encountered in specialized circumstances, such as fournier’s gangrene, which is an emergent condition. treatment of debrided skin of the abdominal wall is always challenging, particularly in large defects.a 69-year-old man suffered from complications following inguinal hernia repair, which included laparoscopic mesh repair, subsequent right hemicolectomy with anastomosis, leading to ileostomy, fournier’s gangrene, and eventually a large skin defect in the lower abdomen and perineal area. after multiple sessions of woundtherapy, he underwent abdominal wall reconstruction with two large pedicled anterolateral thigh flaps.anterolateral thigh flaps, with their robust blood supply, can easily reach the lower abdomen and cover extensive abdominal skin defects when transferred bilaterally. level of evidence: level v, therapeutic study