A pedicled anterolateral thigh flap for reconstruction of abdominal wall soft tissue defect in the absence of microsurgical services- case report

The pedicled anterolateral thigh (ALT) flap was performed under 3.5× loupe magnification, demonstrating the feasibility of using this technique for abdominal wall defects in settings without full microsurgical services. While the procedure can be performed without an operating microscope, it still requires basic microsurgical equipment-such as loupes-and fundamental microsurgical skills, underscoring the importance of proficiency in these essential techniques.