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

Repairs of complex groin wounds with contralateral rectus abdominis myocutaneous flaps

“…[1][2][3][4][5][6][7] Wound infection in vascular surgery with the prosthetic material for the femoral artery embolism could even cause jeopardy of lost of the affected leg. 1,3 Radical resection of the tumor, such as fibrosarcoma often results in large defects that are difficult to be closed primarily, or closed under a high tension. Thus, these wounds have a higher percentage of complications than other areas of the lower extremity, leading to a higher incidence of infection and dehiscence.…”

“…A growing body of evidence supports the benefit of muscle flap coverage for these nonhealing and infected wounds including those with exposed vascular prostheses. [1][2][3][4] Multiple case reports and experiences with various muscle flaps have been presented with differing success rates of complex groin wound management. [1][2][3][4][5][6][7][8][9][10][11] A variety of pedicled and microsurgical myocutaneous flaps, such as the tensor fasciae latae, rectus abdominis, gracilis, sartorius, and gluteus maximus, have been accomplished in the treatment of femoral wound.…”

“…[1][2][3][4][5][6][7][8][9][10][11] A variety of pedicled and microsurgical myocutaneous flaps, such as the tensor fasciae latae, rectus abdominis, gracilis, sartorius, and gluteus maximus, have been accomplished in the treatment of femoral wound. [1][2][3][4][5][6] However, for some chronic complex groin wounds, great difficulty for using those flaps would be encountered because no healthy blood vessels are available as the vascular pedicle for the pedicled flaps and the recipient vessels for microsurgical flaps under the circumstance of severe chronic inflammation and scar contracture.…”

Reconstruction of complex groin defects with inferior epigastric artery-based rectus abdominis muscle flaps: report of two cases

“…[3,5,6] Therefore, complex inguinal defects with an underlying vascular surgery should be addressed promptly and radically by flaps with adequate vascularity and volume. [3] In order to obtain vascularity and volume, a pedicled or a free muscle flap can be chosen.…”

Combined open surgical and endovascular management of ruptured femoral artery from recurrent vulvar cancer

“…The usual treatment is chemoradiotherapy, however surgery in the form of radical resection with vascular grafting and plastic reconstruction or hip disarticulation has been described. 4,5 Femoral artery rupture is a rare complication and is usually the result of tumour invasion, radiotherapy and tissue necrosis. Rupture of the femoral artery results in exsanguinating haemorrhage and is usually a terminal event.…”