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Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects

2014; Wiley; Volume: 34; Issue: 6 Linguagem: Inglês

10.1002/micr.22226

1098-2752

Shimpei Miyamoto, Shuji Kayano, Kenichi Kamizono, Yutaka Fukunaga, Junichi Nakao, Fumihiko Nakatani, Eisuke Kobayashi, Minoru Sakuraba,

Vascular Procedures and Complications

MicrosurgeryVolume 34, Issue 6 p. 470-474 Case Report Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects Shimpei Miyamoto M.D., Corresponding Author Shimpei Miyamoto M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, 104-0045 JapanCorrespondence to: Shimpei Miyamoto, M.D., Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan. E-mail: [email protected]Search for more papers by this authorShuji Kayano M.D., Shuji Kayano M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, 104-0045 JapanSearch for more papers by this authorKenichi Kamizono M.D., Kenichi Kamizono M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, JapanSearch for more papers by this authorYutaka Fukunaga M.D., Yutaka Fukunaga M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, JapanSearch for more papers by this authorJunichi Nakao M.D., Junichi Nakao M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, JapanSearch for more papers by this authorFumihiko Nakatani M.D., Fumihiko Nakatani M.D. Division of Orthopedic Surgery, National Cancer Center Hospital, Tokyo, JapanSearch for more papers by this authorEisuke Kobayashi M.D., Eisuke Kobayashi M.D. Division of Orthopedic Surgery, National Cancer Center Hospital, Tokyo, JapanSearch for more papers by this authorMinoru Sakuraba M.D., Minoru Sakuraba M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, JapanSearch for more papers by this author Shimpei Miyamoto M.D., Corresponding Author Shimpei Miyamoto M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, 104-0045 JapanCorrespondence to: Shimpei Miyamoto, M.D., Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan. E-mail: [email protected]Search for more papers by this authorShuji Kayano M.D., Shuji Kayano M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, 104-0045 JapanSearch for more papers by this authorKenichi Kamizono M.D., Kenichi Kamizono M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, JapanSearch for more papers by this authorYutaka Fukunaga M.D., Yutaka Fukunaga M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, JapanSearch for more papers by this authorJunichi Nakao M.D., Junichi Nakao M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, JapanSearch for more papers by this authorFumihiko Nakatani M.D., Fumihiko Nakatani M.D. Division of Orthopedic Surgery, National Cancer Center Hospital, Tokyo, JapanSearch for more papers by this authorEisuke Kobayashi M.D., Eisuke Kobayashi M.D. Division of Orthopedic Surgery, National Cancer Center Hospital, Tokyo, JapanSearch for more papers by this authorMinoru Sakuraba M.D., Minoru Sakuraba M.D. Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, JapanSearch for more papers by this author First published: 16 January 2014 https://doi.org/10.1002/micr.22226Citations: 12Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Soft-tissue defects after wide resection of groin sarcomas have been reconstructed with well-characterized flaps, such as rectus abdominis, gracilis, and anterolateral thigh flaps. To our knowledge, the use of superficial femoral artery perforator (S-FAP) flaps for this purpose has not been reported. We report on three female patients in whom groin defects after sarcoma resection were reconstructed with pedicled S-FAP flaps. The dimensions of the skin defects ranged from 13.5 × 11 to 16 × 14.5 cm. Sizable perforators from the superficial femoral arteries were identified preoperatively around the apex of the femoral triangle with computed tomographic angiography or color Doppler ultrasonography. The lengths of the flaps ranged from 17 to 19 cm. The main perforator penetrated the sartorius muscle in two patients and emerged between the sartorius and the adductor longus muscles in the other patient. The postoperative course was uneventful, and results were satisfactory in all patients. The main advantages of the S-FAP flap over more commonly used flaps are that it is easier to harvest and is associated with less donor-site morbidity. We believe that the S-FAP flap may be a versatile option for the coverage of groin defects. © 2014 Wiley Periodicals, Inc. Microsurgery 34:470–474, 2014. REFERENCES 1Gravvanis A, Caulfield RH, Mathur B, Ramakrishnan V. Management of inguinal lymphadenopathy: Immediate sartorius transposition and reconstruction of recurrence with pedicled ALT flap. Ann Plast Surg 2009; 63: 307–310. 2Lee MJ, Dumanian GA. The oblique rectus abdominis musculocutaneous flap: Revisited clinical applications. Plast Reconstr Surg 2004; 114: 367–373. 3Hallock GG. The medial circumflex femoral (gracilis) local perforator flap—a local medial groin perforator flap. Ann Plast Surg 2003; 51: 460–464. 4Cormack GC, Lamberty BG. 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