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Updated: Dec 29, 2025

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

Complications after thigh sarcoma resection.

Sarah M Elswick¹, Daniel A Curiel¹, Peter Wu¹

¹Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota.

Journal of Surgical Oncology

|February 6, 2020

Summary

This summary is machine-generated.

Factors like tobacco use, older age, cardiac disease, and higher BMI increase wound complications after thigh sarcoma surgery. Reconstruction timing did not significantly impact outcomes.

Keywords:

lower extremity sarcoma surgical flaps

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Area of Science:

Orthopedic Oncology
Plastic and Reconstructive Surgery
Surgical Outcomes Research

Background:

Limb-sparing surgery with radiation is standard for extremity sarcomas.
Wound complications frequently occur after these procedures.

Purpose of the Study:

Identify predictors of wound complications after thigh sarcoma resection and reconstruction.
Analyze trends in complication rates over time.

Main Methods:

Retrospective review of 159 thigh reconstructions (1997-2014).
Analysis of patient demographics, comorbidities, surgical factors, and adjuvant therapies.
Wound complications defined as infection, dehiscence, seroma, hematoma, or flap loss.

Main Results:

Nearly half (49.1%) of patients experienced a complication.
Surgical site infection (23.3%) and dehiscence (19.5%) were most common.
Tobacco use, older age, cardiac disease, and higher BMI were independent risk factors for complications.

Conclusions:

Tobacco use, cardiac disease, and higher BMI are associated with increased wound complication risk.
Reconstruction timing did not significantly influence complication rates.
These findings aid in optimizing patient selection and preoperative counseling.