Introduction: The most important functions of the abdominal wall are protection and compression. Reconstruction of large abdominal wall defects following trauma, abdominal wall tumor resection and recurrent hernia represents a great challenge. Multiple techniques have been described to restore the integrity of the abdominal wall as primary fascial repair, component separation, and interpositional materials.
Aim of the work: To evaluate the effectiveness of the anterior rectus sheath flap to bridge the fascial defect with supporting polypropylene mesh.
Patients & methods: Twenty nine patients with abdominal wall defects were managed at Menoufiya University Hospital between January 2005 and October 2009 using the anterior rectus sheath flap with supporting polypropylene mesh.
Conclusion: This technique will be added as one of the methods of closing abdominal wall defects that can be used in appropriate patients. The clear indication, advantages, disadvantages, and long term outcomes compared with other methods will be hopefully explored by more time and studies.