Figure 6.

(A, B) Patient had prior reconstruction with omentum and presents with recurrent lower rib chondrosarcoma seen both clinically and on CT scan. (asterisks). (C) Tumor being resected in continuity with splenectomy. (D) Diaphragm and chest wall have been reconstructed with porcine acellular dermal matrix. (E) Abdominal wall has now been reconstructed with porcine acellular dermal matrix as well, and splenic artery and vein are exteriorized through a window in the dermal matrix. (F) Lateral thigh flap including large skin island and entire vastus lateralis muscle. (G, H) Final reconstruction has retained chest wall and abdominal contour without hernias (white asterisk, lateral thigh skin island; black asterisk, original omentum flap).