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

Détails

ID Serval
serval:BIB_58A8A796A258
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique.
Périodique
In vivo
Auteur⸱e⸱s
Sörelius K., Schiraldi L., Giordano S., Oranges C.M., Raffoul W., DI Summa P.G.
ISSN
1791-7549 (Electronic)
ISSN-L
0258-851X
Statut éditorial
Publié
Date de publication
2019
Peer-reviewed
Oui
Volume
33
Numéro
1
Pages
1-9
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
05/01/2019 15:13
Dernière modification de la notice
20/08/2019 14:12
Données d'usage