Figure 1: Left: Preoperative situation with vesico-cutaneous fistula at lower abdominal wall. Middle: Harvested bipedicled myocutaneous latissimus dorsi flap (*) and serratus anterior muscle flap (**). Serrate branch (▲) of thoracodorsal vessels (↑). Right: After reconstruction of the bladder and the abdominal wall. Skin island of latissimus dorsi flap (*).