A pedicled anterolateral thigh flap for reconstruction of peristomal skin necrosis and fascial dehiscence; a case report

Extensive peristomal skin necrosis is a serious complication caused by infection. Stoma appliance placement makes management of this complication difficult. Herein, we describe our technique for pedicled anterolateral thigh (ALT) flap reconstruction of extensive skin necrosis and fascial dehiscence after an ileostomy. Our patient underwent cystourethrectomy with an ileal conduit. Extensive wound infection resulted in massive peristomal skin necrosis. After surgical debridement, the defect was repaired successfully by an ALT flap. At 2 years postoperatively, our patient maintains an active life style and can operate the ileal conduit pouch with ease.