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Use of an abdominal rotation flap for inguinal lymph node dissection
British Journal of Plastic Surgery
|September 1, 1987
Summary
An abdominal rotation flap reduces skin necrosis after inguinal lymph node dissection. This technique aids wound closure, minimizing complications in groin dissection patients.
Area of Science:
- Surgical Oncology
- Plastic Surgery
- Dermatology
Background:
- Inguinal lymph node dissection can lead to skin edge necrosis.
- Precarious blood supply to the groin skin poses a challenge for wound closure.
Purpose of the Study:
- To evaluate the effectiveness of an abdominal rotation flap in reducing skin edge necrosis after inguinal lymph node dissection.
- To assess the safety and feasibility of this flap technique for groin dissection closure.
Main Methods:
- Retrospective review of 13 cases undergoing inguinal lymph node dissection with abdominal rotation flap closure.
- Comparison of outcomes with previously reported series on groin dissection complications.
Main Results:
- One patient (7.6%) experienced skin edge necrosis.
- The abdominal rotation flap facilitated tension-free closure and excision of vulnerable skin.
Conclusions:
- Abdominal rotation flap is an effective method for reducing skin edge necrosis in inguinal lymph node dissection.
- This technique improves wound healing and patient outcomes following groin dissection.

