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Reconstruction of Complex Groin Defects After Sarcoma Resection.
Shimpei Miyamoto1, Masahide Fujiki, Fumihiko Nakatani
1From the *Department of Plastic and Reconstructive Surgery, and †Department of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo; ‡Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Limb salvage is achievable after complex groin sarcoma resection, but complications are common. Careful selection of arterial grafts and soft-tissue flaps is crucial for successful reconstruction and limb preservation.
Area of Science:
- Surgical Oncology
- Reconstructive Surgery
- Vascular Surgery
Background:
- Complex groin defects arise from sarcoma resection, involving vital structures like major vessels, skin, abdominal wall, and hip joint.
- Reconstruction aims to preserve limb function after extensive tumor removal.
Purpose of the Study:
- To assess the feasibility of limb preservation in patients undergoing complex groin reconstruction after sarcoma resection.
Main Methods:
- A cohort of 12 patients with complex groin defects post-sarcoma resection were analyzed.
- Reconstruction involved arterial repair (autologous vein or ePTFE grafts) and soft-tissue coverage (musculocutaneous flaps).
Main Results:
- Limb salvage was achieved in 66.7% of patients with a median follow-up of 39 months.
- Postoperative complications occurred in 58.3% of patients, with some requiring amputation due to wound issues or tumor recurrence.
Conclusions:
- Limb salvage is feasible following extensive groin sarcoma resection, despite a significant complication rate.
- Optimal reconstruction necessitates precise selection of arterial conduits and soft-tissue flaps tailored to defect specifics.
