Author/Authors :
Hulika, Narendra Department of Surgical Oncology - Department of Cardiovascular and Thoracic Surgery - Sri Venkateswara Institute of Medical Sciences, India , Reddy Naru, Ramana Department of Surgical Oncology - Department of Cardiovascular and Thoracic Surgery - Sri Venkateswara Institute of Medical Sciences, India , Azhagamuthu Department of Surgical Oncology - Department of Cardiovascular and Thoracic Surgery - Sri Venkateswara Institute of Medical Sciences, India , Inamdar, Basheeruddin Department of Surgical Oncology - Department of Cardiovascular and Thoracic Surgery - Sri Venkateswara Institute of Medical Sciences, India , Chandra, Abha Department of Surgical Oncology - Department of Cardiovascular and Thoracic Surgery - Sri Venkateswara Institute of Medical Sciences, India
Abstract :
The radical surgery for fungating inguinal lymph nodes is commonly done in patients with penile and vulvar cancers, creating complex groin defects. These defects are managed most commonly with either pedicled ipsilateral anterolateral thigh (ATL) flap or tensor fascia lata (TFL) flap. The reconstruction with complex flaps provide durable coverage and prevent scar contractures, which tend to form in the flexural regions such as the groin. The pedicled ATL flap is one of the most commonly used flaps for ipsilateral groin defects. Its blood supply depends on intact femoral vessels. In a scenario where femoral vessels are resected and reconstructed with synthetic graft as part of radical surgery for cancer, either a free or ipsilateral pedicled anterolateral thigh flap is not an option.
