Reconstruction of an Irreversible Massive Ventral Hernia Dome After Open Abdomen Management Without Abdominal Wall Closure Using a Two-Stage Procedure with a Purse-String Suture and Double Vastus Lateralis Flaps

Late abdominal wall reconstruction after a failure to achieve early abdominal closure and the formation of a ventral hernia with bowel exposure is technically challenging 2, 5) .Various reconstruction methods for massive ventral hernias have been reported, including artificial synthetic mesh [6][7][8] , component separation method 9, 10), autologous tissue reconstruction such as the tensor fascia lata (TFL) and anterolateral thigh (ALT)