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Related Experiment Videos

Free groin flap revisited.

T M Cooper1, N Lewis, M A Baldwin

  • 1Division of Plastic and Reconstructive Surgery, Prince of Wales Hospital, Perth, West Australia, Australia.

Plastic and Reconstructive Surgery
|March 17, 1999
PubMed
Summary

The free groin flap is a reliable option for soft-tissue reconstruction, particularly in head and neck cases. Despite a higher failure rate than other microvascular transfers, it offers pliable tissue with minimal donor site issues.

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Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • The free groin flap is a versatile surgical technique for soft-tissue reconstruction.
  • This study evaluates the outcomes of 130 consecutive free groin flap transfers over 19 years by a single surgeon.

Observation:

  • Flaps were used for defects in the head and neck (68), trunk (4), upper limb (14), and lower limb (44).
  • Indications included tumor ablation, trauma, radiation effects, and miscellaneous conditions like Romberg's hemifacial atrophy.

Findings:

  • The overall free groin flap failure rate was 8.5% (11 of 130), higher than the 4.2% for other microvascular transfers by the same surgeon.
  • Nine out of 15 urgently re-explored flaps were salvaged, demonstrating potential for successful intervention.

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  • Donor-site complications occurred in 24 cases, including hematoma, hypertrophic scars, and infection.

    • Implications:

    • The free groin flap is a reliable method for providing thin, pliable soft-tissue cover with acceptable donor-site morbidity.
    • Its utility has evolved, making it a valuable option for various reconstructive challenges, especially in the head and neck region.