Abdominal-based adipocutaneous advancement flap for reconstructing inguinal defects with contraindications to standard reconstructive approaches: a simple and safe salvage reconstructive option.

Details

Serval ID
serval:BIB_03EDA5D7A42F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Abdominal-based adipocutaneous advancement flap for reconstructing inguinal defects with contraindications to standard reconstructive approaches: a simple and safe salvage reconstructive option.
Journal
Archives of plastic surgery
Author(s)
Schaffer C., Haselbach D., Schiraldi L., Sörelius K., Kalbermatten D.F., Raffoul W., di Summa P.G.
ISSN
2234-6163 (Print)
ISSN-L
2234-6163
Publication state
Published
Issued date
07/2021
Peer-reviewed
Oui
Volume
48
Number
4
Pages
395-403
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Groin wounds occurring after vascular surgical site infection, oncologic resection, or occasionally orthopedic surgery and trauma may represent a surgical challenge. Reconstruction of these defects by the usual workhorse flaps may be contraindicated following previous surgery and in patients with lower limb lymphedema or extreme morbidity.
This study included 15 consecutive patients presenting with inguinal wounds after vascular or general surgery that required debridement and soft tissue coverage. All cases had absolute or relative contraindications to conventional reconstructive techniques, including a compromised deep femoral artery network, limb lymphedema, scarring of potential flap harvesting sites, or poor overall condition. Abdominal adipocutaneous excess enabled the performance of adipocutaneous advancement flaps in an abdominoplasty-like fashion. Immediate and long-term outcomes were analyzed.
Soft tissue coverage was effective in all cases. Two patients required re-intervention due to flap-related complications (venous congestion and partial flap necrosis). All patients fully recovered over a mean±standard deviation follow-up of 2.4±1.5 years.
Abdominal flaps can be an effective and simple alternative technique for inguinal coverage with reproducible outcomes. In our experience, the main indications are a compromised deep femoral artery network and poor thigh tissue quality. Relative contraindications, such as previous open abdominal surgery, should be considered.
Keywords
Abdomen, Groin, Infection, Reconstruction, Vascular surgery
Pubmed
Web of science
Open Access
Yes
Create date
24/08/2021 14:17
Last modification date
21/07/2022 6:37
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