Complex abdominal wall defects are a challenging problem, especially when the options available for reconstruction are limited, such as in patients with multiple comorbidities. In this article, we present a case of complex abdominal wall defect following a complication after an emergency aneurism surgery in an elderly patient with limited reconstructive options. We applied the bowstring technique successfully and without further complications. This technique offers a simple approach to large defects by redistributing forces from the skin. We emphasize the importance of this procedure for the reconstruction of defects in this type of patients without other choices.
Abdominal wall; Bowstring technique; Plastic surgery; Reconstruction.