Pedicled anterolateral thigh flap for contralateral groin composite defect

Abstract

Pedicled anterolateral thigh flap has been well described for ipsilateral groin defects. Its versatility depends on the intact femoral vessels. When the external iliac and the femoral vessels are absent, especially secondary to wide surgical tumour ablations in the groin region, ipsilateral ALT flap is not an option. Free flaps also are difficult because of lack of recipient vessels. We report a case of composite groin defect following wide resection of recurrent liposarcoma along with encased vessels which was covered with a pedicled anterolateral thigh flap from the opposite thigh. The technique of lengthening the vascular pedicle and medializing the pedicle, to effectively increase its reach to the contralateral anterior superior iliac spine without vascular compromise, is described.

The Versatility of Pedicled Anterolateral Thigh Flap: A Tertiary Re-ferral Center Experience from India

“…Many authors focussed the utility of pedicled ALT for various soft tissue defects pertaining to specific anatomical regions [4][5][6][7]. To the best of our knowledge, very few articles described the diverse anatomical locations where pedicled ALT flap was used, including the abdomen, groin, trochanteric region, and the knee [8].…”

Anterolateral thigh flap for contralateral adductor canal defects

“…We read with great interest the article on AnteroLateralThigh flap for contralateral groin defects. [ 1 ] We congratulate the authors for elaborating the technique in great details, especially for its use for the contralateral groin defects. To what the authors have already stated, we would like to add the following:…”