Use of Nonvascularized Abdominal Rectus Fascia After Liver, Small Bowel, and Multiorgan Transplantation: Long-Term Follow-up of a Single-Center Series.

•The use of the rectus fascia is a novel idea, which has the advantage provided by the size and strength of the fascia, avoiding the complexity of performing a vascularized abdominal wall transplant.•The use of the fascia of the rectus muscles seems be poorly immunogenic, probably because of its avascular nature.•The fascia of the rectus muscles would integrate to the recipient abdominal wall, resulting in a scaring tissue that will replace the lack of native wall by filling the defect. No ventral hernias were observed in the long term follow-up.