Contralateral Rectus Abdominis Muscle Flap Coverage for the Management of a Complicated Groin Defect

Ac, Aygit; Onat, R; Aydın, Yağmur; Orak, Fethi

doi:10.1097/00000637-199703000-00031

Cited by 4 publications

(4 citation statements)

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“…Twenty-two studies, including 538 patients, reported on inguinal reconstruction following vascular surgery: cannulation of femoral artery or vein, aorto-femoral or femoro-popliteal bypass, and often not specified (2,. Others causes leading to inguinal defect requiring reconstructive surgery involved trauma (four papers of 11 patients) (26)(27)(28)(29), infections (three papers of 10 patients) (2,26,30), post burn contractions (one paper of 1 patient) (31), and one paper of a strangulated inguinal hernia with parietal abscess and necrosis of 23 patients (40). All flap types used for each subgroup are presented in Table I.…”

Section: Resultsmentioning

confidence: 99%

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Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique

Sörelius

Schiraldi

Giordano

et al. 2018

In Vivo

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Background/Aim: This study aimed to evaluate the literature regarding surgical etiology demanding inguinal reconstructive surgery, associated reconstructive techniques and outcomes. Materials and Methods: A systematic literature search was performed according to the PRISMA statement between 1996-2016. Results: A total of 64 articles were included, comprising 816 patients. Two main subgroups of patients were identified: Oncological resections (n=255, 31%), and vascular surgery (n=538, 66%). Oncological resection inguinal defects were treated with pedicled myocutaneous flaps (n=166, 65%), fasciocutaneous flaps (77, 31%), muscle flaps (7, 3%) and direct closure (3, 1%). Vascular surgery complications were treated with muscle flaps (n=513, 95%). Complications for the respective subgroup (oncological resections, vascular surgery) were: infection (24%, 14%), seroma (34%, 7.5%), flap dehiscence/delayed healing (20.6%, 40.8%,). The total reintervention rate was 20%. Conclusion: Reconstruction of inguinal defects should be addressed on a case-by-case basis. Myocutaneous flaps were favoured after oncological resections, while muscle flaps were preferred after vascular surgery. The inguinal region represents a crucial intersection of fundamental anatomical structures, such as the femoral artery, vein, nerve, the inguinal node stations and the inguinal canal. This makes the inguinal carrefour a common surgical site for interventions that range from surgical lymphadenectomy, diverse oncological resections to a number of vascular, visceral and urological surgical procedures. Such procedures may result in soft tissue defects and exposure of key anatomic elements, requiring reconstruction. However, if radical inguinal oncological surgery is more likely to produce a primary defect or dead space, vascular and general surgery procedures, may incur wound dehiscence, delayed healing, and abscess formation, finally requiring radical aggressive debridement leading to a secondary soft tissue and skin defect. The anatomical features of inguinal defects in the particular location between the abdominal and the thigh, and in the vicinity of the anogenital region, make the reconstruction of the inguinal region challenging for the plastic surgeon. The poor healing of wounds in the inguinal region has been attributed to wide defects with bacterial contamination, noncollapsible dead spaces, lymphatic leaks and the healing difficulties related to a low vascularized, or eventually irradiated field (1, 2), depending on the primary pathology. The post-operative morbidity associated with inguinal surgery is well documented in the literature, with an incidence of complications as high as 40% (3). The aims of this systematic literature review were to comprehensively review the last two decades of literature concerning inguinal reconstructions, focusing on etiology, and associated reconstruction techniques and outcomes with complications associated with respective etiology and 1 This article is freely accessible online.

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Section: Resultsmentioning

confidence: 99%

“…Hospital stay and follow-up. Fifteen papers reported on the length of hospitalisation (10,16,17,22,23,27,(32)(33)(34)(35)(36)(37)(38)(39)41). The average hospital stay after the reconstruction was in vivo 33: 1-10 (2019) 2 Table I.…”

Section: Resultsmentioning

confidence: 99%

Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique

Sörelius

Schiraldi

Giordano

et al. 2018

In Vivo

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“…Although metastasis rarely occurs, DFSP is a locally aggressive tumour with a high recurrence rate. [4][5][6] The pedicled VRAM flap provides a reliable tool for coverage of large soft-tissue defects from the trunk to the groin area even in a high-risk population, in which a safe and fast forward flap procedure is the primary reconstructive goal. Safe immediate reconstruction in the inframammary region is possible by use of a musculocutaneous flap, the latissimus dorsi flap or better by the rectus abdominis myocutaneous flap.…”

Section: Vertical Rectus Abdominis Myocutaneous Flap In the Treatmentmentioning

confidence: 99%

“…As a bipedicled flap based superiorly on the superior epigastric vessels, the rectus abdominis myocutaneous flap is used for breast and chest wall reconstruction and based inferiorly on the inferior epigastric vessels; it has been used for reconstruction of groin, vulval, perineal and vaginoperineal defects 4–6 …”

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confidence: 99%

Vertical rectus abdominis myocutaneous flap in the treatment of a recurrent dermatofibrosarcoma protuberans

Trindade

Rosa

2008

Acad Dermatol Venereol

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References1 Miller DL, Weinstock MA. Nonmelanoma skin cancers in the United States: incidence. J Am Acad Dermatol 1994; 30: 774 -778. 2 Diepgen TL. The epidemiology of skin cancer. Br J Dermatol 2002; 146: 1-6. 3 Essers B, Nieman F, Prins M, Smeets N, Neumann H. Perceptions of facial aesthetics in surgical patients with basal cell carcinoma. J Eur Acad Dermatol Venereol 2007; 21: 1209-1214. 4 Morton CA, Brown SB, Collins S et al. Guidelines for topical photodynamic therapy: report of a workshop of the British photodermatology group. Br J Dermatol 2002; 146: 552 -567. 5 Baptista J, Martinez C, Leite L, Cochito M. Our PDT experience in the treatment of non-melanoma skin cancer over the last 7 years.

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Limb Preservation by Gore-Tex Vascular Graft for Groin Recurrence after Postoperative Adjuvant Radiation in Vulvar Cancer

Chao

Lai

Chen

et al. 2001

Gynecologic Oncology

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Contralateral Rectus Abdominis Muscle Flap Coverage for the Management of a Complicated Groin Defect

Cited by 4 publications

References 0 publications

Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique

Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique

Vertical rectus abdominis myocutaneous flap in the treatment of a recurrent dermatofibrosarcoma protuberans

Limb Preservation by Gore-Tex Vascular Graft for Groin Recurrence after Postoperative Adjuvant Radiation in Vulvar Cancer

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