[Thigh root reconstruction with a pedicled DIEP flap].

Area of Science:

• Plastic Surgery
• Oncologic Reconstruction
• Lymphedema Management

Background:

• Extensive loss of substance in the thigh root necessitates surgical intervention.
• Chronic lymphedema (LC) complicates wound healing, prolonging recovery time.
• Angiosarcoma in the thigh presents a significant reconstructive challenge.

Observation:

• A 22-year-old female patient with hemi-body lymphedema and angiosarcoma required reconstruction of a large thigh defect (16x24cm).
• A pedicled deep inferior epigastric perforator (DIEP) flap was utilized for the reconstruction.
• The patient had a history of chronic lymphedema, posing potential challenges for wound healing.

Findings:

• Successful reconstruction of the extensive thigh defect was achieved using a pedicled DIEP flap.
• Complete skin wound healing was observed within 30 days post-surgery.
• Donor site healing was achieved within 15 days, indicating good flap viability and recipient site management.

Implications:

• The pedicled DIEP flap demonstrates efficacy in reconstructing large thigh defects, even in the presence of chronic lymphedema.
• This technique offers a viable option for managing complex oncologic resections involving the thigh.
• Further studies may explore the long-term outcomes and broader applicability of pedicled DIEP flaps in lymphedema patients requiring extensive reconstruction.