Conclusions  Most type I defects can be corrected with primary suture. For type II defects, a prosthetic or biological mesh, or alternatively an autologous fascial substitute, may be used. For type III defects, the resulting full-thickness defect will require a myocutaneous flap, such as the tensor fascia lata flap, with or without a mesh for abdominal wall reconstruction. Human acellular dermal matrix, a biological mesh, is an ideal alternative for synthetic mesh, especially in situations of infection or contamination. Content Type Journal ArticleCategory Reconstructive OncologyDOI 10.1245/s10434-009-0548-8Authors Rui Tang, Hernia and Abdominal Wall Surgery Center of Shanghai Jiaotong University, Shanghai Ninth People’s Hospital, affiliated to Shanghai Jiaotong Uni...