ABSTRACT
I. ASSESSMENT Pelvic and abdominal wall reconstruction has traditionally been difficult. As with any defect, critical assessment is vital in selecting the appropriate treatment option. Historically, trauma and injury have been the most prevalent reason for consultation with the reconstructive surgeon. These defects may involve extensive degloving of the skin, loss of bony support, and loss of abdominal wall fascial structure. Edema and additional surgery required for traumatic injuries (i.e., abdominal exploration) may compromise options for reconstruction. The exposure of vascular and other vital structures may require fascial support and well-vascularized muscle for coverage.
