A groin flap is an axial-patterned cutaneous flap based on the superficial circumflex iliac arteriovenous system, which can provide soft-tissue coverage to defects on any aspect of the hand and the distal two thirds of the forearm. One of the presumed disadvantages of the pedicled groin flap is the discomfort experienced by the patient during the time required before flap division. These disadv...

BACKGROUND The tensor fascia lata is a versatile flap with many uses in reconstructive plastic surgery. As a pedicled flap its reach to the lower abdomen and groin made it an attractive option for reconstructing soft tissue defects after tumor ablation. However, debate exists on the safe dimension of the flap, as distal tip necrosis is common. Also, the adequacy of the fascia lata as a sole sub...

DEAR EDITOR 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...

BACKGROUND Reconstruction of composite extremity defects or through-and-through oral defects remains challenging for surgeons. Chimeric flaps are ideal for repairing these lesions. In this article, we report the design of various chimeric groin free flaps for the reconstruction of both complex oral and extremity defects in 18 patients. METHODS Between 2010 and 2014, 18 patients with composite...

Background: Femoral cannulation is commonly used during minimally invasive cardiac surgery. We evaluated the occurrence of postoperative groin complications after femoral in surgery.
 Methods: This retrospective study included 140 patients who had surgery with cannulation. One hundred twelve (80%) mitral valve surgery, 24 (17.1%) atrial septal defect repair, and four (2.9%) myxoma excision...

BACKGROUND Vascular prosthetic graft infection in the groin is associated with high morbidity and mortality. This article presents a case series on the use of 2 flaps in the treatment of this condition. METHODS Five patients, mean age 65 years (range, 49-74 years), with significant comorbidity were treated for an exposed and infected vascular prosthetic graft in the groin with a combination o...

Different methods have been reported to reconstruct groin defects brought about by hidradenitis suppurativa (HS); however, it has challenging achieve favourable outcomes that serve both cosmetic and functional purposes. In this report, we present a case of HS defect was reconstructed using combination abdominal flap gluteal thigh (GTF). A 47-year-old female patient underwent extensive excision ...

A fifteen-year-old female patient presented with a severe bilateral groin contracture for the last 8 years. She had sustained burns at the age of seven years. Three attempts to release the contracture with split thickness skin grafts had been done without success. A pedicled anterior lateral thigh flap was raised and advanced into the defect after the contracture had been released. Postoperativ...