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A retrospective data evaluation of pedicled perforator flaps harvested from the leg to reconstruct smooth tissue flaws had been conducted. Seven patients managed in the urology division with smooth muscle flaws following cyst resection, illness, and dehiscence had been included. In every customers, the ALT flap had been utilized successfully to reconstruct smooth muscle flaws up to 450 cm2 in proportions. All flaps survived. In 1 case, prolonged wound recovery was seen. All defects had been ad

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