Abstract
Abdominal wall reconstruction is a complex area. Cases vary greatly in terms of cause and location of the defect, the choice of reconstructive option, and the degree of involvement ranging from skin and subcutaneous tissue only, to a total defect involving muscle and fascia. We present our experience with a total lower abdominal wall reconstruction in a 10 year-old girl who was diagnosed with Ewing's sarcoma of the pelvis. The mass was resected and reconstructed with a pedicled functional unilateral rectus femoris muscle flap and fascia lata extension in addition to Strattice™ dermal substitute. After 4 weeks, laparoscopic oophoropexy was performed safely by pediatric surgery without any technical difficulty or post-operative complications.