Endoscopic assisted autogenous tensor fascia lata harvest

• Author Details:   
• Sriram VS
• Ravi Kumar Chittoria
• Amrutha JS

Chronic wounds often fail to heal due to inadequate vascularity and inflammation. Autologous tensor fascia lata (TFL) grafts, rich in Type I collagen and elastin, provide a regenerative scaffold conducive to cell infiltration and angiogenesis. We describe a minimally invasive endoscopic technique for harvesting TFL in a 35-year-old male with bilateral grade 4 ischial pressure ulcers and underlying osteomyelitis. A 2 cm transverse incision was used, and the graft was harvested under direct endoscopic vision, allowing precise dissection and hemostasis with minimal donor-site morbidity. The procedure was uneventful, with no wound-related complications. This technique offers superior anatomical visualisation, reduced incision length, and minimal trauma. Endoscopic-assisted TFL harvest represents a promising alternative to open approaches in selected chronic wound cases.