Reconstruction of Groin Defects Following Radical Inguinal Lymphadenectomy: An Evidence Based Review

Murthy, Vijayashree; Gopinath, K. S.

doi:10.1007/s13193-012-0145-3

Cited by 23 publications

(30 citation statements)

References 33 publications

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“…We mostly preferred the pedicled VRAM flap, as it can be elevated and inset rapidly, has a wide arc of rotation, does not require a change in the patient's position, does not require dissection of irradiated vessels, and allows transfer of muscle with a large skin island (2,15). Its donor site can be easily closed primarily.…”

Section: Discussionmentioning

confidence: 99%

Groin and thigh reconstructions with pedicled rectus abdominis myocutaneous flaps

Uzun¹,

Bitik²,

Baltu³

et al. 2017

Turk J Med Sci

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Background/aim: Resection of tumors from the groin and thigh regions with safe margins often results in significant soft tissue defects, which preclude primary closure. This study presents a series of rectus abdominis myocutaneous flaps for irradiated thigh and groin wounds with the purpose of evaluating the efficacy and outcomes of these flaps in this population. Materials and methods:From 2008 to 2015, all patients who underwent resection of thigh or groin region tumors and reconstruction with an inferiorly based rectus abdominis myocutaneous flap were retrospectively identified. Medical records of the patients were reviewed.Results: A total of 27 patients, aged 20-67 years, were operated on for defects in the groin and upper thigh region. Nine patients underwent immediate reconstruction. The remaining 18 patients underwent late reconstruction. There was neither total flap loss nor partial flap loss. We chose to utilize 15 ipsilateral and 12 contralateral pedicles. The mean length of stay in hospital was 13.7 days. Conclusion:A rectus abdominis myocutaneous flap can be successfully used in patients with groin and upper thigh defects due to its predictable and robust vascular supply, bulky muscle content, wide arc of rotation, and large skin island.

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Section: Discussionmentioning

confidence: 99%

Groin and thigh reconstructions with pedicled rectus abdominis myocutaneous flaps

Uzun¹,

Bitik²,

Baltu³

et al. 2017

Turk J Med Sci

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“…[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. Abdominal weakness, bulging or hernia, and knee weakness are some of the complications associated with these flaps.…”

Section: Discussionmentioning

confidence: 99%

“…We followed the same technique of harvesting of TFL as described by various authors. [2,4] The donor flap outlining was done with U-shaped incision on the thigh. The elevation was carried out in a subfascial plane from distal to proximal.…”

Section: Case Reportmentioning

confidence: 99%

“…It is a versatile flap with many uses in reconstructive plastic surgery like in management of pressure sores, facial reanimation and as a free flap in head and neck reconstruction. [2] As a pedicled flap, its strong fascial layer has the advantage of reaching the lower abdomen and the groin. Thus, it is a good option for reconstructing soft tissue defects after tumor ablation.…”

Section: Introductionmentioning

confidence: 99%

“…The flap's safe dimensions and adequacy to minimize distal tip necrosis for a sound abdominal wall reconstruction remains controversial. [2][3][4][5] The aim of the present case report was to share our experience and clinical observations with TFL flap used in the reconstruction of a challenging defect following inguinal block dissection in a case of the carcinoma penis.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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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Other Approaches for Reducing Surgical Risk

Sommariva

2017

Malignancies of the Groin

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Reconstruction of Groin Defects Following Radical Inguinal Lymphadenectomy: An Evidence Based Review

Cited by 23 publications

References 33 publications

Groin and thigh reconstructions with pedicled rectus abdominis myocutaneous flaps

Groin and thigh reconstructions with pedicled rectus abdominis myocutaneous flaps

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

Other Approaches for Reducing Surgical Risk

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