Groin soft tissue tumors—a challenge for local control and reconstruction: A prospective cohort analysis

Mack, Lloyd A.; Temple, Walley J.; DeHaas, William G.; Schachar, Norman S.; Morris, Don; Kurien, Elizabeth

doi:10.1002/jso.20058

Cited by 10 publications

(6 citation statements)

References 19 publications

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“…They had a local recurrence rate of 48%. In contrast Mack et al [5] treated their patients (n 09) with a neoadjuvant chemoradiation followed by operation, which included contralateral myocutaneous flap in four patients, tensor fascia latae in three, and sartorius flap in two patients. They reported a total local and limb salvage rate.…”

Section: Discussionmentioning

confidence: 99%

“…Wound healing may cause problems in the groin [10]. Mack et al [5] stated that one important way to reduce complications after resection of tumours in the groin is not to compromise with wound closure by using a muscle flap, which is readily accomplished with a rectus abdominis flap. The results of our series support this statement.…”

Section: Discussionmentioning

confidence: 99%

“…Because of their anatomical and surgical particularities, these tumours are associated with high local recurrence rates (16%Á48%) and the risk of postoperative complications (40%Á68%) [1Á3]. Large resections are usually needed, so soft tissue coverage with a muscle flap is often indicated [4,5] as shown by Mack et al in a series of 11 patients [5]. We present seven consecutive patients, focussing particularly on soft tissue coverage.…”

Section: Introductionmentioning

confidence: 99%

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Results of treatment of malignant soft tissue tumours in the groin

Ramseier

Dumont

Bode-Lesniewska

et al. 2008

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Soft tissue sarcomas of the inguinal region are a challenge with regard to achieving clear margins, reconstruction of the femoral vessels, and soft tissue coverage. Six men aged 39 to 48 years and one woman of 56 were treated for soft tissue sarcomas of the groin. All patients were treated with local en bloc resections including the femoral artery, vein, and nerve. In two patients the soft tissue defect was covered primarily with an ipsilateral rectus abdominis muscle flap, in two others (because of wound dehiscence) coverage was achieved with the opposite rectus abdominis muscle pedicle flap as we were afraid of closure of the ipsilateral deep epigastric vessels. In the others local measures were sufficient, however, wound healing was usually delayed. Histopathological examination showed tumour-free margins in each case. One patient developed a local recurrence, but had had no radiotherapy because of problems with wound healing. A high rate of local tumour control in soft tissue sarcomas of the inguinal region can be achieved with the combination of surgical resection and radiotherapy. No compromise should be made with aggressive soft tissue coverage to protect the vascular reconstruction, control wound healing after neoadjuvant radiotherapy, or allow immediate adjuvant radiotherapy. At primary wound closure we would generally use an ipsilaterally distally pedicled rectus abdominis muscle flap if the deep epigastric vessels can be preserved or - if the ipsilateral vessels need be resected to achieve clearance of tumour - use a contralateral flap.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Results of treatment of malignant soft tissue tumours in the groin

Ramseier

Dumont

Bode-Lesniewska

et al. 2008

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…The resultant wounds are slow healing in nature and are frequently exposed to vital structures like femoral vessels, thereby increasing the complication rate. [6][7][8][9] Several flaps have been described to cover established groin defects, namely, inferiorly based rectus abdominis muscle or myocutaneous flap, rectus femoris, sartorius with abdominal skin flap, internal oblique muscle flap, and vastus lateralis flaps. [2][3][4][5] These flaps have their advantages and disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Use of tensor fascia lata flap for reconstruction of the defect created following inguinal block dissection in a case of carcinoma penis: a case report and brief review of literature

Jena¹,

Banoth²,

Haranadh³

et al. 2015

Plast Aesthet Res

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Tensor fascia lata (TFL) flap is a versatile myofasciocutaneous flap. It has varied usages as both free and pedicled flap. As a pedicled flap, it is a good option for reconstructing soft tissue defects after tumor ablation. The TFL perforator flap is a good alternative for anterolateral thigh (ALT) flap. The advantages of TFL flap are that dissection can be made through the same incision, without impairment of other donor sites. The reconstructive plan remains same as that of ALT flap. TFL flap offers a good volume of skin and can be made thin removing variable portions of muscle. The present case is a 63-year-old patient with a carcinoma penis who underwent left ilioinguinal block dissection resulting in a defect of 8 cm × 8 cm in the left inguinal region. TFL flap was raised with U-shaped incision and used for closure of the defect with good result.

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“…Exposure of the femoral vessels and nerves exclude the use of skin grafts. The reliable choice for immediate reconstruction would be the use of local flaps such as tensor fascia lata (TFL) flap [4], inferior based rectus abdominis flap [5,6], or anterior thigh flap [6]. Some authors even recommend the prophylactic use of TFL in cases of ilioinguinal dissection [7].…”

Section: Introductionmentioning

confidence: 99%

Tensor fascia lata flap is a workhorse for defects after inguinal lymph node block dissection

2016

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Having in mind that TFL presents as a flap of adjustable size, length, shape, and volume, with negligible donor site morbidity, and after comparing of our results to those of other authors, we advise broader use of TFL flap. As a reliable flap, not too difficult to harvest, with a low complication rate, it must be taken into consideration regarding the benefits for the patient, and, on the other hand, the surgery cost and duration.

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Groin soft tissue tumors—a challenge for local control and reconstruction: A prospective cohort analysis

Abstract: Preoperative therapy provides excellent local control of groin soft tissue tumors. Current surgical techniques allow extensive resection with limb salvage, dependable primary wound healing and long-term integrity of the abdominal wall.

Cited by 10 publications

References 19 publications

Results of treatment of malignant soft tissue tumours in the groin

Results of treatment of malignant soft tissue tumours in the groin

Use of tensor fascia lata flap for reconstruction of the defect created following inguinal block dissection in a case of carcinoma penis: a case report and brief review of literature

Tensor fascia lata flap is a workhorse for defects after inguinal lymph node block dissection

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