Uncomplicated pregnancy following total bilateral rectus harvest: a case report.

Muscle-sparing rectus abdominis muscle harvest has been advocated to preserve abdominal wall integrity and to reduce postoperative complications and functional loss. In previous cases of pregnancy following single and bilateral rectus muscle harvest, muscle-sparing techniques were used to fortify the abdominal wall. We report a case of uncomplicated gestation and delivery following total bilateral rectus muscle harvest. While abdominal wall strength is greatly affected by rectus harvest, the fascial and tendonous components of the abdominal wall contribute substantial static integrity and elasticity. Careful repair of the donor site makes complete rectus muscle harvest an option even for women contemplating pregnancy.