How to reconstruct an upper full-thickness abdomen wall defect in austere environment? Interests of the pedicled myofascial latissimis dorsi flap.

Upper abdominal wall defects secondary to trauma are not amenable to immediate closure in most cases. After a primary coverage, the definitive reconstruction can be done at a later date, using prosthetic mesh or flap. The majority of these complex procedures is, however, not available in the austere environment.