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Optimizing Flap Choice in the Complex Groin Wound: A Review of 175 Consecutive Cases

IntroductIon: Prune belly syndrome is quite rare and is characterized by deficient abdominal wall musculature, intraabdominal testes, and a dilated urinary collecting system. Absent abdominal musculature may result in chronic constipation, urinary retention, frequent respiratory infections, and poor balance. Traditional abdominoplasties provide only transient improvement in appearance and have little impact on function. We reviewed what we believe to be the first reported series of prune belly abdominoplasties utilizing bilateral rectus femoris muscles transpositions.