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

Details

Serval ID
serval:BIB_58A8A796A258
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique.
Journal
In vivo
Author(s)
Sörelius K., Schiraldi L., Giordano S., Oranges C.M., Raffoul W., DI Summa P.G.
ISSN
1791-7549 (Electronic)
ISSN-L
0258-851X
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
33
Number
1
Pages
1-9
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
This study aimed to evaluate the literature regarding surgical etiology demanding inguinal reconstructive surgery, associated reconstructive techniques and outcomes.
A systematic literature search was performed according to the PRISMA statement between 1996-2016.
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%.
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.
Keywords
Humans, Inguinal Canal/physiopathology, Inguinal Canal/surgery, Postoperative Complications/physiopathology, Reconstructive Surgical Procedures, Retrospective Studies, Surgical Flaps, Treatment Outcome, Vascular Surgical Procedures, Wound Closure Techniques, Wound Healing, Oncological surgery, complications, inguinal defect, reconstructive surgery, review, vascular surgery
Pubmed
Web of science
Open Access
Yes
Create date
05/01/2019 15:13
Last modification date
20/08/2019 14:12
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