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Case Reports
. 2010 Jan;43(1):103-5.
doi: 10.4103/0970-0358.63960.

Pedicled anterolateral thigh flap for contralateral groin composite defect

S P Bharath  1 , G Madhusudan, Suraj Manjunath
Affiliations
Case Reports

Pedicled anterolateral thigh flap for contralateral groin composite defect

S P Bharath et al. Indian J Plast Surg. 2010 Jan.

Abstract

Pedicled anterolateral thigh flap has been well described for ipsilateral groin defects. Its versatility depends on the intact femoral vessels. When the external iliac and the femoral vessels are absent, especially secondary to wide surgical tumour ablations in the groin region, ipsilateral ALT flap is not an option. Free flaps also are difficult because of lack of recipient vessels. We report a case of composite groin defect following wide resection of recurrent liposarcoma along with encased vessels which was covered with a pedicled anterolateral thigh flap from the opposite thigh. The technique of lengthening the vascular pedicle and medializing the pedicle, to effectively increase its reach to the contralateral anterior superior iliac spine without vascular compromise, is described.

Keywords: Pedicled flap; anterolateral thigh myocutaneous flap; contralateral groin defect.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Left groin composite defect
Figure 2
Figure 2
Contralateral right anterolateral thigh fl ap marked
Figure 3
Figure 3
ALT flap covering the defect after extended dissection and tunnelling under rectus femoris medialising the pedicle
Figure 4
Figure 4
Healed ALT flap and the donor thigh at 3 weeks
See this image and copyright information in PMC

References

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